| Koran Watson Haven Of Health Llc | |
|
21 S 11th St, Philadelphia, PA 19107-4223 | |
| (267) 209-3245 | |
| (267) 907-8591 |
| Full Name | Koran Watson Haven Of Health Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 21 S 11th St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104401322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Koran Bianca Watson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174162572 PECOS PAC ID: 7214345719 Enrollment ID: I20210422000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Koran Watson Haven Of Health Llc 21 S 11th St, Philadelphia, PA 19107-4223 Ph: (267) 209-3245 | Koran Watson Haven Of Health Llc 21 S 11th St, Philadelphia, PA 19107-4223 Ph: (267) 209-3245 |
Nutriwell Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4055 Ridge Ave, 3608, Philadelphia, PA 19129 Phone: 267-760-7778 | |
Ms. Melissa Wadolowski, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2723 Almond St, Philadelphia, PA 19134 Phone: 631-897-3294 | |
Gal Shua-haim, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 350 S 15th St, Philadelphia, PA 19102 Phone: 215-867-9424 | |
Norman Robert Hansen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 861 Glenn St, Philadelphia, PA 19115 Phone: 215-900-0440 | |
Carol Buhrman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800 | |
Kaitlin Poillon, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 Cherry St Fl 2, Philadelphia, PA 19102 Phone: 215-553-7012 | |
Ashley Sakenas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1512 South St, Philadelphia, PA 19146 Phone: 215-559-1019 |