Organization
PHYSIKALE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BETH STONE MS RDN LDN (OWNER)
(409) 363-1260
Entity
Organization
Contact information
Practice address
16288 TREASURE LK, DU BOIS, PA 15801
(409) 363-1260
Mailing address
1466 TREASURE LK, DU BOIS, PA 15801-9039
(409) 363-1260
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006427
PA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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