Organization
EAT WELL, LIVE BETTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DINAZ HOMI ITALIA RD (REGISTERED DIETITIAN)
(804) 399-5060
Entity
Organization
Contact information
Practice address
750 ROUTE 73 S, SUITE 309A & 310A, MARLTON, NJ 08053-4141
(804) 399-5060
Mailing address
230 KINGS HWY E, SUITE 297, HADDONFIELD, NJ 08033-1907
(804) 399-5060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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