Organization
BELLA VITA NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN S CIMILUCA (SOLE MEMBER)
(973) 464-4264
Entity
Organization
Contact information
Practice address
150 SOUTH WARNER RD, KING OF PRUSSIA, PA 19406
(973) 464-4264
Mailing address
150 S WARNER RD STE 130, KING OF PRUSSIA, PA 19406-2826
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/20/2023
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