IDENTITY NUTRITION, LLC

COATESVILLE, PA
NPI1437904141
Entity TypeOrganization
Authorized ContactCHRISTINA JANE BROCHET
Owner
610-466-5649
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2024-04-17
Last Update Date2024-04-26
Business Address
IDENTITY NUTRITION, LLC
1284 STERNER MILL RD
COATESVILLE, PA 19320-7702
Phone number: 610-466-5649
Mailing Address
IDENTITY NUTRITION, LLC
1284 STERNER MILL RD
COATESVILLE, PA 19320-7702
Phone number: 610-466-5649