Individual
MISS LAURA MICHELLE CRESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1030 N 2ND ST UNIT 303, PHILADELPHIA, PA 19123-1595
(215) 779-9511
Mailing address
4 CRICKET CIR, HORSHAM, PA 19044-1837
(215) 779-9511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006260
PA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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