Individual
ASHLEY BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
150 MONUMENT RD STE 207, BALA CYNWYD, PA 19004
(800) 203-8657
(800) 258-1426
Mailing address
150 MONUMENT RD STE 207, BALA CYNWYD, PA 19004
(800) 203-8657
(800) 258-1426
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006471
PA
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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