Individual
CLAUDIA ROSE MCCULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
213 MERCER ST, PHILADELPHIA, PA 19125-3207
(806) 470-4628
Mailing address
213 MERCER ST, PHILADELPHIA, PA 19125-3207
(806) 470-4628
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86117882
PA
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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