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Individual
MATTHEW LUONGO
Active
Individual
MATTHEW LUONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, CSSD, CDN
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133V00000X
Registered Dietitian
—
NULL
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
NULL
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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