Individual
MRS. HELENE H, C MICAHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4600
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3911
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003965
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102466525
—
PA
Enumeration date
04/19/2010
Last updated
03/25/2026
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