Individual
ALISON P KUCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 WOODLAND DR S, FAIR HAVEN, NJ 07704-3642
(917) 331-5665
Mailing address
18 WOODLAND DR S, FAIR HAVEN, NJ 07704-3642
(917) 331-5665
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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