Individual
MS. KRISTEN MARIE MANNIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-3144
Mailing address
269 RUSHBROOK RD, SCOTT TOWNSHIP, PA 18433-7862
(570) 808-3144
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004731
PA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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