Individual
JONATHAN LUKE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
4450 OAKHURST BLVD, HARRISBURG, PA 17110-3452
(717) 788-5405
Mailing address
266 RING NECK DR, HARRISBURG, PA 17112-1476
(607) 331-5621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86150075
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86150075
RDN REGISTRATION NUMBER
—
Enumeration date
10/05/2022
Last updated
10/05/2022
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