Individual
SANA J DICEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 624-4328
Mailing address
1430 MARY DR, JOHNSTOWN, PA 15905-1944
(814) 410-3056
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
08/04/2016
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