Individual
PHYLLIS ANN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(888) 369-5550
(888) 369-5550
Mailing address
130 OVERLOOK AVE APT 3K, HACKENSACK, NJ 07601-2234
(888) 369-5550
(888) 369-5550
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
886131
NJ
Other
Enumeration date
02/27/2007
Last updated
06/21/2022
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