Organization
WAYNE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLY ANN STROGEN MS, RD, LDN (PRESIDENT)
(484) 253-1082
Entity
Organization
Contact information
Practice address
175 STRAFFORD AVE, SUITE ONE, WAYNE, PA 19087-3317
(484) 253-1082
Mailing address
175 STRAFFORD AVE, SUITE ONE, WAYNE, PA 19087-3317
(484) 253-1082
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004453
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639470354
PROVIDER NPI
PA
Enumeration date
09/09/2015
Last updated
09/09/2015
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