Organization
SIMPLE START NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE HENIGAN RDN LDN (REGISTERED DIETITIAN NUTRITIONIST)
(631) 513-2969
Entity
Organization
Contact information
Practice address
501 CRESTVIEW RD, LANSDALE, PA 19446-2909
(631) 513-2969
Mailing address
501 CRESTVIEW RD, LANSDALE, PA 19446-2909
(631) 513-2969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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