| NPI | 1033449228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANNE BLAIR Owner 732-746-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 14518) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NJ 14518) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NJ 14518) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NJ 14518) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NJ 14518) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NJ 14518) | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |