Individual
MRS. JILL FABRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
100 LINCOLN AVE, CARBONDALE, PA 18407-2116
(570) 281-1024
(570) 281-5392
Mailing address
625 MARY JO DR, JESSUP, PA 18434-1965
(570) 383-6367
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820671
BCNEPA
PA
Enumeration date
02/15/2007
Last updated
07/08/2007
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