BETHAN FANG

CLOSTER, NJ
NPI1376073346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Additional Taxonomies133N00000X Nutritionist
Enumeration Date2017-06-13
Last Update Date2017-06-13
Business Address
BETHAN FANG RD
89 BIRCH ST
CLOSTER, NJ 07624-1702
Phone number: 516-456-1982
Mailing Address
BETHAN FANG RD
89 BIRCH ST
CLOSTER, NJ 07624-1702
Phone number: