Organization
ADVANTAGE NUTRITION & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MARIE DOANE RD, LDN, ATC (PRESIDENT)
(610) 443-1885
Entity
Organization
Contact information
Practice address
961 MARCON BLVD STE 115, ALLENTOWN, PA 18109-9371
(610) 443-1885
(610) 443-1685
Mailing address
961 MARCON BLVD STE 115, ALLENTOWN, PA 18109-9371
(610) 443-1885
(610) 443-1685
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001283
PA
133V00000X
Registered Dietitian
DN003573
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102392708
—
PA
Enumeration date
11/20/2007
Last updated
05/13/2019
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