Organization
THEREALISTICDIETITIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA URSINO (OWNER)
(609) 280-9353
Entity
Organization
Contact information
Practice address
107 WILLOW OAKS LN, MULLICA HILL, NJ 08062-4535
(609) 280-9353
Mailing address
107 WILLOW OAKS LN, MULLICA HILL, NJ 08062-4535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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