Organization
SECRET SAUCE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE STAR MAGGIOLO RDN, LDN (REGISTERED DIETITIAN NUTRITIONIST)
(201) 458-4065
Entity
Organization
Contact information
Practice address
249 WINTHROP SHORE DR APT 5, WINTHROP, MA 02152-1153
(201) 458-4065
Mailing address
249 WINTHROP SHORE DR APT 5, WINTHROP, MA 02152-1153
(201) 458-4065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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