NPI 1609237379

Shannon Mazzei

Practitioner Registered Dietetic Technician Philadelphia, PA

Practice location

Address: 475 Spring Ln, Philadelphia, PA 19128-3918
Phone: (215) 482-5353
Mailing address: 941 Laurance Ave, Elkins Park, PA 19027-1920

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 966008 (PA)

Other Dietetic Technician, Registered providers in Pennsylvania →

Registry record

NPI: 1609237379
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2016
Record last updated: 9 Mar 2016

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.