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1760545248
EVELYN PENA
NEWARK, NJ
NPI
1760545248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NJ 839523)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- EVELYN PENA RD
201 LYONS AVE FAMILY TREATMENT CENTER G-3
NEWARK, NJ 07112-2027
Phone number: 973-926-6925
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Mailing Address
-- EVELYN PENA RD
201 LYONS AVE FAMILY TREATMENT CENTER G-3
NEWARK, NJ 07112-2027
Phone number:
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