Organization
LAURA YOUR DIETITIAN LLC
Active
Other names
Laura Your Dietitian LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURA CRESTA RD, LDN (REGISTERED DIETITIAN)
(215) 779-9511
Entity
Organization
Contact information
Practice address
1030 N 2ND ST UNIT 303, PHILADELPHIA, PA 19123-1595
(215) 779-9511
Mailing address
4 CRICKET CIRCLE, HORSHAM, PA 19044
(215) 779-9511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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