Organization
CHRISSY CRAWFORD NUTRITIONIST FITNESS & THERAPEUTIC HEALTH CENTER L.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BLAKE CHC (HEART DISEASE AND DIABETES)
(856) 208-6126
Entity
Organization
Contact information
Practice address
900 RTE. 168 BLACK HORSE PIKE, BLACKWOOD, NJ 08012
(856) 208-6126
(856) 677-9585
Mailing address
6054 WILMINGTON AVE, EGG HARBOR TOWNSHIP, NJ 08234-6210
(609) 380-2492
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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