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Individual

MRS. IRINA TRAKHTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CDCES

Contact information

Practice address
11 SHERIDAN PL, FAIR LAWN, NJ 07410-4205
(551) 996-5684
Mailing address
11 SHERIDAN PL, FAIR LAWN, NJ 07410-4205
(917) 538-6588

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
975348

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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