| |
815 Ponderosa Dr, Imperial, PA 15126-1170 | |
(412) 445-1889 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 815 Ponderosa Dr, Imperial, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1649435280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DN000933 (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
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815 Ponderosa Dr, Imperial, PA 15126-1170 Ph: (412) 445-1889 | 815 Ponderosa Dr, Imperial, PA 15126-1170 Ph: (412) 445-1889 |
Mrs. Heather Rae Mangieri, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 815 Ponderosa Dr, Imperial, PA 15126 Phone: 412-445-1889 |