Individual
SARAH ANNA VIRGINIA TAKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RDN
Contact information
Practice address
3301 MARKET ST, PHILADELPHIA, PA 19104-5004
(602) 561-4570
Mailing address
3301 MARKET ST, PHILADELPHIA, PA 19104-5004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366870842
COMMERCIAL
PA
Enumeration date
01/19/2023
Last updated
01/19/2023
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