Individual
AUDREY HASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1632 PINE ST, PHILADELPHIA, PA 19103-6711
(215) 735-7992
Mailing address
PO BOX 380, SELLERSVILLE, PA 18960-0380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005405
PA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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