| NPI | 1700435559 |
|---|---|
| Former Legal Business Name | DEFORE-BURDINE, LLC |
| Entity Type | Organization |
| Authorized Contact | ANNE E BURDINE Owner 610-573-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2020-02-05 |