Individual
AMANDA MARIA LAEZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
383 W FOUNTAIN ST STE 115, PROVIDENCE, RI 02903-3515
(401) 297-3256
Mailing address
8 FAWN CT, MONROE TWP, NJ 08831-1180
(908) 930-0353
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
06/17/2024
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