Individual
MS. NICOLE MICHELE FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1310 N HOLLYWOOD ST, PHILADELPHIA, PA 19121-4513
(302) 383-2881
Mailing address
1310 N HOLLYWOOD ST, PHILADELPHIA, PA 19121-4513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007553
PA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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