Organization
APPLE A DAY NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLAVITO R.D. L.D.N. (PARTNER)
(610) 248-6644
Entity
Organization
Contact information
Practice address
327 CHESTNUT ST, EAST BANGOR, PA 18013-2224
(484) 294-3662
Mailing address
PO BOX 256, MOUNT BETHEL, PA 18343-0256
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005415
PA
Other
Enumeration date
12/25/2015
Last updated
12/25/2015
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