Individual
PENELOPE JEAN AMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 788-8860
(814) 788-8044
Mailing address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 788-8860
(814) 788-8044
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002069
PA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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