Individual
MISS MARIE GERTRUDE AGUINALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
29 AVENUE E, BAYONNE, NJ 07002-2555
(201) 376-3255
Mailing address
18 BEVERLY RD, SPRINGFIELD, NJ 07081-3015
(201) 376-3255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
727850
—
Other
Enumeration date
11/14/2010
Last updated
11/15/2010
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