Individual
JESSICA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 KALISA WAY STE 211, PARAMUS, NJ 07652-3538
(800) 736-3739
(201) 652-6253
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86072795
NJ
Other
Enumeration date
01/12/2021
Last updated
01/29/2025
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