Individual
EVANGELEENA MANZANARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
257 W 117TH ST, APT 3G, NEW YORK, NY 10026-2187
(646) 918-0515
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010733
NY
Other
Enumeration date
02/19/2021
Last updated
10/20/2023
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