Individual
THERESA RISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
(800) 920-9928
(800) 615-9936
Mailing address
222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
(800) 920-9928
(800) 615-9936
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
960795
NJ
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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