Individual
NICHOLAS THEODOROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
5 STONECROFT DR, EASTON, PA 18045-2812
(610) 258-1894
(610) 253-6800
Mailing address
5 STONECROFT DR, EASTON, PA 18045-2812
(610) 258-1894
(610) 253-6800
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
23-2600163
PA
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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