Individual
NICOLE ALEXA GONGLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1167 HAINES AVE, OAKFORD, PA 19053-3621
(267) 912-7850
Mailing address
1167 HAINES AVE, OAKFORD, PA 19053-3621
(267) 912-7850
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007291
PA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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