Back To Basics Nutrition Counseling, Llc

NPI 1073814042 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1073814042
Enumeration Date 11/08/2010
Last Updated 11/29/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARISOL MARISOL
Position SOLE MEMBER
Phone (973) 744-7495
Fax (973) 695-1655
Practice Location
8 HILLSIDE AVE
207
MONTCLAIR NJ, 07042-2129, US
Phone (973) 744-7495
Fax (973) 695-1655
Business Location
8 HILLSIDE AVE
207
MONTCLAIR NJ, 07042-2129, US
Phone (973) 744-7495
Fax (973) 744-7495
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
Remove 1073814042 NPI Number
 

According to our database, Back To Basics Nutrition Counseling, Llc NPI is 1073814042, taxonomy code is 133V00000X Back To Basics Nutrition Counseling, Llc physically located at 8 Hillside Ave, Montclair NJ, 07042-2129. NPI Number 1033115704 has the healthcare provider type.

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1073814042 NPI number is provided on an as is basis without warranty of any kind. 1073814042 is maintained by the National Plan & Provider Enumeration System. The contents of Back To Basics Nutrition Counseling, Llc are for informational purposes only.