Organization
BERTA NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTA YATCHA RD (PROVIDER)
(347) 323-7025
Entity
Organization
Contact information
Practice address
74A PARKWAY CT, BROOKLYN, NY 11235-6113
(732) 508-0347
Mailing address
724 AVENUE W, BROOKLYN, NY 11223-5549
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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