Individual
LYDIA RENTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1267 N EAST BLVD UNIT 17E, VINELAND, NJ 08360-2363
(856) 839-0445
Mailing address
1267 N EAST BLVD UNIT 17E, VINELAND, NJ 08360-2363
(856) 839-0445
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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