Individual
DIANE MELANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NTC
Contact information
Practice address
213 ROOSEVELT AVE, NORTHFIELD, NJ 08225-1931
(609) 277-1712
Mailing address
213 ROOSEVELT AVE, NORTHFIELD, NJ 08225-1931
(609) 277-1712
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
0450240182
NJ
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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