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Individual

AMANDA JULIA FANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN

Contact information

Practice address
74 HORSENECK RD, MONTVILLE, NJ 07045-9303
(973) 865-2460
Mailing address
74 HORSENECK RD, MONTVILLE, NJ 07045-9303
(973) 865-2460

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NJ

Other

Enumeration date
07/07/2020
Last updated
07/07/2020
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