Individual
ROLDANA HUGANIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2220
(215) 663-6422
(215) 663-6443
Mailing address
6405 N 6TH ST, PHILADELPHIA, PA 19126-3806
(267) 449-5046
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005119
PA
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN005119
PA PROFESSIONAL LICENSING
PA
Enumeration date
03/20/2012
Last updated
09/07/2023
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