NPI 1518592732

Coby a Bamford, DTR

Practitioner Registered Dietetic Technician Danville, PA

Practice location

Address: 100 N Academy Ave, Danville, PA 17822-9800
Phone: (570) 214-1077
Mailing address: 2110 Pulaski Ave, Coal Township, PA 17866-4056

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X

Other Dietetic Technician, Registered providers in Pennsylvania →

Registry record

NPI: 1518592732
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2020
Record last updated: 9 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.