Organization
NORTHWEST NUTRITION AND DIABETES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORA TRAMONTINA (OWNER)
(267) 207-4595
Entity
Organization
Contact information
Practice address
244 E SYDNEY ST, PHILADELPHIA, PA 19119-1835
(267) 207-4595
Mailing address
244 E SYDNEY ST, PHILADELPHIA, PA 19119-1835
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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