Individual
JAMIE MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.N., R.D.
Contact information
Practice address
6120-B WOODLAND AVENUE, PHILADELPHIA, PA 19142
(215) 727-4721
(215) 726-4507
Mailing address
4700 WISSAHICKON AVE, SUITE 118, PHILADELPHIA, PA 19144-4248
(267) 597-3600
(267) 597-3622
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002595
PA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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