Individual
AMY BRAZIL GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MANCHESTER DR, WILKES BARRE, PA 18702-7315
(570) 362-1600
Mailing address
20 MANCHESTER DR, WILKES BARRE, PA 18702-7315
(570) 362-1600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000175
PA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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