THERESA ELIZABETH SHANK

PHILADELPHIA, PA
NPI1568700862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: PA  DN004553)
Enumeration Date2013-01-21
Last Update Date2014-03-04
Business Address
-- THERESA ELIZABETH SHANK RD LDN
1632 PINE ST
PHILADELPHIA, PA 19103-6711
Phone number: 215-735-7992
Mailing Address
-- THERESA ELIZABETH SHANK RD LDN
1909 GREEN ST APARTMENT 2N
PHILADELPHIA, PA 19130-3244
Phone number: 717-203-9728
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