Individual
MADISON SANTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
710 THOMPSON AVE, MC KEES ROCKS, PA 15136-3808
(412) 771-6462
Mailing address
2603 LEECHBURG RD, NEW KENSINGTON, PA 15068-3096
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007193
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86083414
CDR REGISTRATION ID
—
Enumeration date
03/22/2022
Last updated
03/22/2022
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