Individual
CHRISTINE JESSICA LUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 CENTRAL AVE STE 104, PHILADELPHIA, PA 19111-2431
(215) 742-0712
(215) 742-5218
Mailing address
2450 W HUNTING PARK AVE FL 2, PHILADELPHIA, PA 19129-1302
(215) 926-9019
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DN005840
PA
133NN1002X
Nutrition Education Nutritionist
DN005840
PA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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