Individual
ALTEA MARIE BRUNORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6015 WAYNE AVE, PHILADELPHIA, PA 19144-6101
(570) 766-2212
Mailing address
6015 WAYNE AVE, PHILADELPHIA, PA 19144-6101
(570) 766-2212
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003773
PA
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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