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Organization

NUTRITION CUSTOM CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET LAU RDN, CDN, CLT (REGISTERED DIETITIAN)
(732) 936-5406
Entity
Organization

Contact information

Practice address
270 SAINT PAULS AVE, JERSEY CITY, NJ 07306-5012
(732) 936-5406
Mailing address
270 SAINT PAULS AVE UNIT 1, JERSEY CITY, NJ 07306-5012
(917) 238-4714

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary

Other

Enumeration date
12/29/2021
Last updated
12/29/2021
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