Individual
ALYSSA KATHERINE SMOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RDN CDN
Contact information
Practice address
166 LYONS AVE, NEWARK, NJ 07112-2016
(732) 713-7527
Mailing address
166 LYONS AVE, NEWARK, NJ 07112-2016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86292674
NJ
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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