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Individual

MS. KARA MCCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457
(973) 616-4555
(973) 616-3430
Mailing address
18 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457
(973) 616-4555
(973) 616-3430

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
00857936

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
857936
COMMISSION ON DIATETIC RE
Enumeration date
03/18/2008
Last updated
03/18/2008
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