Individual
MRS. LEAH BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9120
Mailing address
1779 NEW GERMANY RD, SUMMERHILL, PA 15958-5212
(814) 241-7690
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003881
PA
Other
Enumeration date
04/06/2009
Last updated
01/12/2012
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