| Plant The Seed Nutrition Llc | |
|
2220 Brandywine St, Philadelphia, PA 19130-3109 | |
| (610) 608-5533 | |
| Not Available |
| Full Name | Plant The Seed Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2220 Brandywine 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 |
|---|---|---|---|
| 1730768748 | NPI | - | NPPES |
| 1710430251 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Jessica Funchion |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710430251 PECOS PAC ID: 6709168545 Enrollment ID: I20211026003569 |
| Mailing Address | Practice Location Address |
|---|---|
| Plant The Seed Nutrition Llc 2220 Brandywine St, Philadelphia, PA 19130-3109 Ph: (610) 608-5533 | Plant The Seed Nutrition Llc 2220 Brandywine St, Philadelphia, PA 19130-3109 Ph: (610) 608-5533 |
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