Organization
HEALTHY CORE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON MITIDIERI RDN (OWNER)
(856) 304-4120
Entity
Organization
Contact information
Practice address
123 BARCROFT DR, CHERRY HILL, NJ 08034-3126
(856) 304-4120
Mailing address
123 BARCROFT DR, CHERRY HILL, NJ 08034-3126
(856) 304-4120
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1099452
NJ
Other
Enumeration date
12/07/2016
Last updated
01/03/2017
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