Organization
YOUR WELLNESS CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE DIMARCO MS, RD, LDN, CPT (PARTNER/REGISTERED DIETITIAN)
(610) 331-5439
Entity
Organization
Contact information
Practice address
2835 TYSON AVE, PHILADELPHIA, PA 19149-1415
(610) 331-5439
Mailing address
1 PRESIDENTIAL BLVD STE 203, BALA CYNWYD, PA 19004-1007
(610) 331-5439
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508142696
NPI
PA
01
—
1609167543
NPI
PA
Enumeration date
11/05/2014
Last updated
11/05/2014
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