Individual
MS. AUDREY REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
101 WASHINGTON STREET, LEARNING INSTITUTE, HARRISBURG, PA 17104-1675
(717) 221-6258
(717) 221-6266
Mailing address
409 S 2ND ST, STE 2F, HARRISBURG, PA 17104-1612
(717) 231-8932
(717) 231-8588
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004961
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103022980
—
PA
Enumeration date
12/10/2012
Last updated
10/21/2020
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