Individual
ANGELA LUCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1632 PINE ST, PHILADELPHIA, PA 19103-6711
(215) 735-7992
Mailing address
1616 SPRUCE ST FL 1, PHILADELPHIA, PA 19103-6738
(717) 968-6240
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005435
PA
Other
Enumeration date
10/28/2014
Last updated
06/18/2015
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