Individual
MRS. CHRISTINE DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
337 E MAIN ST STE 2B, SOMERVILLE, NJ 08876-3109
(908) 524-0214
Mailing address
337 E MAIN ST, SOMERVILLE, NJ 08876-3109
(908) 524-0214
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
837637
NJ
133V00000X
Registered Dietitian
Primary
837637
NJ
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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