Individual
KIMBERLY MANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSM, RDN
Contact information
Practice address
7 ELLAM DR, RANDOLPH, NJ 07869-2610
(973) 970-0618
Mailing address
7 ELLAM DR, RANDOLPH, NJ 07869-2610
(973) 970-0618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86110750
NJ
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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