Individual
MICHELLE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6229
(610) 402-3866
(610) 402-3859
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002739
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN002739
STATE LICENSE
PA
Enumeration date
08/10/2022
Last updated
08/10/2022
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