Devilliers, Amanda Jeanette

Devilliers, Amanda Jeanette is an individual health care provider with primary practice located at 417 S 51St St Apt 3 , Philadelphia PA 19143-1607. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Devilliers, Amanda Jeanette can be contacted via phone (570) 575-6353.

Contact Information

Primary practice address
417 S 51St St Apt 3 Philadelphia PA 19143-1607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DN006941 Pennsylvania

Profile Details

NPI number 1265181242
LBN Legal business name Devilliers, Amanda Jeanette
Credentials CNS, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2022
Last updated Mar 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265181242 NPPES
Pennsylvania Other DN006941 DIETITIAN-NUTRITIONIST (LDN)
Pennsylvania Other 17610 DIETITIAN-NUTRITIONIST (LDN)

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