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Organization

BALANCED ROOTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY ELIZABETH KASSIS MS, RDN, LDN (REGISTERED DIETITIAN)
(610) 739-8440
Entity
Organization

Contact information

Practice address
5199 SPRING RIDGE DR E, MACUNGIE, PA 18062-9577
(610) 739-8440
Mailing address
5199 SPRING RIDGE DR E, MACUNGIE, PA 18062-9577
(610) 739-8440

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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