Individual
NICOLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
16 CENTRAL AVE # L, MONTCLAIR, NJ 07042-2911
(973) 452-2303
Mailing address
16 CENTRAL AVE # L, MONTCLAIR, NJ 07042-2911
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NJ
Other
Enumeration date
02/05/2020
Last updated
11/17/2020
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