Organization
FOOD TO TABLE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MELISSA LEATHERMAN RDN, LDN (REGISTERED DIETITIAN/OWNER)
(267) 227-1646
Entity
Organization
Contact information
Practice address
1007 MAYFLOWER DR, QUAKERTOWN, PA 18951-2623
(267) 221-8377
Mailing address
1007 MAYFLOWER DR, QUAKERTOWN, PA 18951-2623
(267) 227-1646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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