Individual
SUSAN RUDALAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
640 MADISON AVENUE, SCRANTON, PA 18510
(570) 941-0630
(570) 941-0648
Mailing address
746 JEFFERSON AVENUE, SCRANTON, PA 18510
(570) 343-2383
(570) 963-6133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003044
PA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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