Individual
DAWN PONDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3458 NEELY RD STE 2C34, JOINT BASE MDL, NJ 08641-5312
(808) 212-6062
Mailing address
1 WOODSIDE DR, TABERNACLE, NJ 08088-9148
(808) 212-6062
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
008785
NY
133V00000X
Registered Dietitian
Primary
720841
NJ
Other
Enumeration date
02/14/2011
Last updated
07/21/2022
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