Individual
AYANA DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 E JOHNSON ST, PHILADELPHIA, PA 19144-1643
(267) 997-4978
Mailing address
264 E JOHNSON ST, PHILADELPHIA, PA 19144-1643
(267) 997-4978
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005618
PA
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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