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Individual

ANNIE CONDIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NUTRITIONIST

Contact information

Practice address
1 PLAINSBORO RD, PLAINSBORO, NJ 08536-1913
(609) 853-7600
(609) 853-7601
Mailing address
18 W BLACKWELL ST, DOVER, NJ 07801-3841
(973) 328-9100
(973) 328-9100

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
681596
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
681596
LICENSE
NJ
Enumeration date
05/12/2021
Last updated
05/12/2021
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