DIANE FORTINO

RIDGEWOOD, NJ
NPI1225410806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NY  634184)
Enumeration Date2015-06-19
Last Update Date2015-06-19
Business Address
-- DIANE FORTINO R.D.
240 E GLEN AVE
RIDGEWOOD, NJ 07450-1736
Phone number: 201-214-9253
Mailing Address
-- DIANE FORTINO R.D.
240 E GLEN AVE
RIDGEWOOD, NJ 07450-1736
Phone number: 201-214-9253
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