Individual
MRS. NICOLE VICTORIA DANN-PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
714 PHILADELPHIA ST, INDIANA, PA 15701-3955
(570) 994-4066
Mailing address
255 CHESTNUT ST, INDIANA, PA 15701-2032
(570) 994-4066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004515
PA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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