Individual
KAREN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-5778
Mailing address
432 KELLY CT, WYCKOFF, NJ 07481-1706
(917) 596-5937
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
890268
NJ
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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