Individual
MS. SARAH LOUISE OTAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNTP
Contact information
Practice address
88 WILDWOOD AVE, UPPER MONTCLAIR, NJ 07043-2213
(973) 943-9037
Mailing address
88 WILDWOOD AVE, UPPER MONTCLAIR, NJ 07043-2213
(973) 943-9037
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2531
WA
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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