Organization
BLACK SHEEP NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA STONE RDN LDN CD (PRESIDENT, REGISTERED DIETITIAN)
(610) 215-9393
Entity
Organization
Contact information
Practice address
36 KRISTINE AVE, BOYERTOWN, PA 19512-7771
(610) 215-9393
Mailing address
3115 SAINT LAWRENCE AVE UNIT 4394, READING, PA 19606-6063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/27/2021
Last updated
09/13/2023
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