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Individual

AMY LYNNE FONTANEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD/N

Contact information

Practice address
3456 BETHLEHEM PIKE FL 1, SOUDERTON, PA 18964-1051
(215) 385-2936
Mailing address
3456 BETHLEHEM PIKE FL 1, SOUDERTON, PA 18964-1051
(215) 385-2936

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007554
PA

Other

Enumeration date
10/24/2023
Last updated
10/24/2023
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