Most Relevant Information
Provider Data
| NPI Number: | 1003357633 |
| Provider Name: | MELISSA WADOLOWSKI RD, LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86019100 |
Most Important Dates
| Enumeration Date: | 03/15/2017 |
| Last Updated: | 09/22/2022 |
Provider Practice Location
2723 ALMOND ST
PHILADELPHIA
PA
191344707
Practice Location Phone/Fax
| Phone: | 6318973294 |
| Fax: |
Provider Mailing Location
2723 ALMOND ST
PHILADELPHIA
PA
191344707
Provider Mailing Phone/Fax
| Phone: | 6318973294 |
| Fax: |