Provider Demographics
NPI:1053641415
Name:MANCINI, JANICE E (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:E
Last Name:MANCINI
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9696
Mailing Address - Country:US
Mailing Address - Phone:724-255-3550
Mailing Address - Fax:724-942-6650
Practice Address - Street 1:1200 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9696
Practice Address - Country:US
Practice Address - Phone:724-255-3550
Practice Address - Fax:724-942-6650
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000105133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered