Individual
JASON BRODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 W LANCASTER AVE, DEVON, PA 19333-1592
(484) 693-0660
Mailing address
316 ROSEMARY LN, PENN VALLEY, PA 19072-1120
(215) 756-1009
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008517
PA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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