Organization
LIVING FIT CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBE A BOURGOIN RD (DIRECTOR)
(609) 840-6287
Entity
Organization
Contact information
Practice address
110 ROOSEVELT BLVD, MARMORA, NJ 08223-1442
(609) 840-6287
Mailing address
110 ROOSEVELT BLVD, MARMORA, NJ 08223-1442
(609) 840-6287
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
560066
NJ
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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