Individual
MRS. THERESA MARIE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
534 HOWELLVILLE RD., BERWYN, PA 19312
(610) 996-6132
Mailing address
534 HOWELLVILLE RD., BERWYN, PA 19312
(610) 996-6132
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000089
PA
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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