Individual
MRS. CHRISTINE HENIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
104 W GORGAS LN, PHILADELPHIA, PA 19119-2507
(631) 513-2969
Mailing address
104 W GORGAS LN, PHILADELPHIA, PA 19119-2507
(631) 513-2969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1003705
PA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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