Individual
MRS. CANDICE LYN WASOLASKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1036618
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60166181
HORIZON NJ HEALTH
NJ
Enumeration date
09/16/2013
Last updated
11/03/2016
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