Individual
PAVANI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S WIGGINS LN, SKILLMAN, NJ 08558-1825
(908) 547-7758
Mailing address
104 S WIGGINS LN, SKILLMAN, NJ 08558-1825
(908) 547-7758
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2301
SC
133V00000X
Registered Dietitian
Primary
—
NJ
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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