Individual
THERESA RIELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 OLD FREEHOLD RD, TOMS RIVER, NJ 08753-5258
(732) 691-0341
Mailing address
1190 OLD FREEHOLD RD, TOMS RIVER, NJ 08753-5258
(732) 691-0341
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/27/2020
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