Organization
GH NUTRITION SERVICES LLC
Active
Other names
Good Health
Organization subpart
No
Provider details
NPI number
Authorized official
SAPNA LALLA RD (REGISTERED DIETITIAN)
(917) 589-6522
Entity
Organization
Contact information
Practice address
383 NORTHFIELD AVENUE, SUITE 107, WEST ORANGE, NJ 07052
(917) 589-6522
Mailing address
47 ROSE TER, CHATHAM, NJ 07928-2069
(917) 589-6522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
933923
NJ
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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