Individual
MRS. NICOLE M GUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
246 FRIENDSHIP CIR, BEAVER, PA 15009-9704
(724) 775-7100
Mailing address
246 FRIENDSHIP CIR, BEAVER, PA 15009-9704
(724) 775-7100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004492
PA
Other
Enumeration date
05/20/2011
Last updated
01/29/2013
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