Individual
MS. ANSELMA KULJANIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
19707 48TH AVE, FRESH MEADOWS, NY 11365-1336
(718) 631-2272
Mailing address
19707 48TH AVE, FRESH MEADOWS, NY 11365-1336
(718) 631-2272
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
860429
NY
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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