Individual
REAGAN DISHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1227 CHRISTIAN ST APT 2R, PHILADELPHIA, PA 19147-3615
(269) 274-6037
Mailing address
1227 CHRISTIAN ST APT 2R, PHILADELPHIA, PA 19147-3615
(269) 274-6037
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008301
PA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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