Individual
KAREN WIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
100 N. ACADEMY AVE, MC: 15-09, DANVILLE, PA 17822-9800
(570) 271-7820
(570) 271-7805
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-7820
(570) 271-7805
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005102
PA
Other
Enumeration date
08/02/2017
Last updated
12/24/2020
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