Individual
MARISSA WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
27 S COOKS BRIDGE RD STE 2-3, JACKSON, NJ 08527-2524
(732) 994-7855
(732) 242-6688
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2605
(732) 807-0463
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
806641
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
01/29/2018
Last updated
01/29/2018
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