Individual
EMMA LEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
420 N 20TH ST, PHILADELPHIA, PA 19130-3828
(215) 496-2662
Mailing address
420 N 20TH ST, PHILADELPHIA, PA 19130-3828
(215) 496-2662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006716
PA
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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