Organization
MALLA PRACTITIONER NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAL MOSHE (OWNER)
(818) 331-8382
Entity
Organization
Contact information
Practice address
101 HUDSON ST FL 21, JERSEY CITY, NJ 07302-3929
(203) 580-3591
Mailing address
101 HUDSON ST FL 21, JERSEY CITY, NJ 07302-3929
(203) 580-3591
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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