Individual
NICOLE BEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1824 STANWOOD ST, PHILADELPHIA, PA 19152-2619
(215) 868-7131
Mailing address
1824 STANWOOD ST, PHILADELPHIA, PA 19152-2619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006998
PA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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