Individual
ILONA KHASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109
(973) 450-2268
(973) 844-4935
Mailing address
34 ALCOTT DR, LIVINGSTON, NJ 07039-1248
(973) 493-3761
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
07/20/2018
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