IndividualActive
Shannon Mazzei
NPI 1609237379 · Registered Dietetic Technician · Philadelphia, PA
Provider details
- NPI number
- 1609237379
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 966008 (PA)
Mailing address
941 Laurance Ave
Elkins Park, PA 19027-1920
Registry dates
- Enumerated
- 2016-03-09
- Last updated
- 2016-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.