Individual
MRS. TRINIQUE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1512 SOUTH ST FL 1, PHILADELPHIA, PA 19146-1636
(267) 239-5637
Mailing address
3434 W ALLEGHENY AVE, PHILADELPHIA, PA 19132-1015
(443) 414-7332
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006117
PA
Other
Enumeration date
02/11/2019
Last updated
07/31/2020
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