| NPI | 1427592674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON MITIDIERI Owner 856-304-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 1099452) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2017-01-03 |