Individual
ANTONIA LYDIA DEBLIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
3209 BEVERLY RD, SOUTH PLAINFIELD, NJ 07080-4903
(908) 217-8290
Mailing address
3209 BEVERLY RD, SOUTH PLAINFIELD, NJ 07080-4903
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12490
FL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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