Individual
MRS. DANIELLE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
431 SOUTH AVE, MEDIA, PA 19063-3215
(610) 304-7275
Mailing address
PO BOX 392, MEDIA, PA 19063-0392
(610) 304-7275
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
964066
PA
133VN1101X
Gerontological Nutrition Registered Dietitian
964066
PA
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
964066
PA
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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