Individual
MRS. GINA M. REISS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
714 N BETHLEHEM PIKE, SUITE 300, LOWER GWYNEDD, PA 19002-2655
(215) 283-2833
(215) 283-1919
Mailing address
6609 ERDRICK ST, PHILADELPHIA, PA 19135-2601
(215) 333-1781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001257
PA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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