Optimal Nutrition Solutions Of Nj, Llc

NPI 1235471236 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1235471236
Enumeration Date 03/18/2013
Last Updated 03/31/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JACQUELINE JACQUELINE
Position REGISTERED DIETITIAN, OWNER
Phone (201) 650-5519
Fax
Practice Location
465 W MAIN ST
WYCKOFF NJ, 07481-1453, US
Phone (201) 650-5519
Fax
Business Location
426 CALDWELL DR
WYCKOFF NJ, 07481-2528, US
Phone (201) 650-5519
Fax
Toxanomy
Taxonomy Code 133V00000X
License State New Jersey
License Number 1052546
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According to our database, Optimal Nutrition Solutions Of Nj, Llc NPI is 1235471236, taxonomy code is 133V00000X and license number is 1052546, license state is located at New Jersey. Optimal Nutrition Solutions Of Nj, Llc physically located at 465 W Main St, Wyckoff NJ, 07481-1453. NPI Number 1033115704 has the healthcare provider type.

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1235471236 NPI number is provided on an as is basis without warranty of any kind. 1235471236 is maintained by the National Plan & Provider Enumeration System. The contents of Optimal Nutrition Solutions Of Nj, Llc are for informational purposes only.