Organization
EAT WELL GIFT BASKETS AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA MAE RODRIGUES (OWNER)
(215) 348-8773
Entity
Organization
Contact information
Practice address
4450 BLUE RIDGE DR, DOYLESTOWN, PA 18902-9552
(215) 348-8773
(215) 348-3557
Mailing address
4450 BLUE RIDGE DR, DOYLESTOWN, PA 18902-9552
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003090
PA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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