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1356858872
RIA REGINA EVANGELISTA EXALTACION MAI
JAMAICA, NY
NPI
1356858872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2018-01-05
Last Update Date
2018-01-05
Business Address
RIA REGINA EVANGELISTA EXALTACION MAI
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3845
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Mailing Address
RIA REGINA EVANGELISTA EXALTACION MAI
16410 WILLETS POINT BLVD
WHITESTONE, NY 11357-3335
Phone number: 917-216-7230
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