Organization
SUPPLEMENT YOU INC.
Active
Organization
SUPPLEMENT YOU INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISTA MICHELLE GRAY RN (OWNER/PRACTITIONER)
(610) 451-1787
Entity
Organization
Contact information
Practice address
844 CANAL RD, WOMELSDORF, PA 19567-9124
(610) 451-1787
(610) 589-4619
Mailing address
844 CANAL RD, WOMELSDORF, PA 19567-9124
(610) 451-1787
(610) 589-4619
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
RN601310
PA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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