Organization
KBRADLEY WHOLE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN JILL BRADLEY RD (PRESIDENT)
(917) 578-5079
Entity
Organization
Contact information
Practice address
437 ANDRE HL, NORTHVALE, NJ 07647-1300
(201) 768-4629
Mailing address
437 ANDRE HL, NORTHVALE, NJ 07647-1300
(201) 768-4629
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01013588
NJ
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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