NICOLE LEIGH LAVERTY

PHILADELPHIA, PA
NPI1184888059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: PA  DN003704)
Enumeration Date2008-07-10
Last Update Date2008-07-10
Business Address
-- NICOLE LEIGH LAVERTY RD, LDN
12 S 23RD ST
PHILADELPHIA, PA 19103-3014
Phone number: 215-496-2662
Mailing Address
-- NICOLE LEIGH LAVERTY RD, LDN
PO BOX 30181
PHILADELPHIA, PA 19103-8181
Phone number: 215-496-2662
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