Organization
RD OF NEPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNA TABATABAIE MS, RDN (OWNER)
(570) 457-2464
Entity
Organization
Contact information
Practice address
532 MAIN ST STE 3, MOOSIC, PA 18507-1001
(570) 457-2464
(570) 457-2492
Mailing address
532 MAIN ST STE 3, MOOSIC, PA 18507-1001
(570) 457-2464
(570) 457-2492
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PA
Other
Enumeration date
08/27/2018
Last updated
09/08/2022
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