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Organization

PRIDE NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL JAECKEL MS, RDN (OWNER)
(631) 942-0473
Entity
Organization

Contact information

Practice address
431 62ND ST APT 305, WEST NEW YORK, NJ 07093-2430
(631) 942-0473
Mailing address
431 62ND ST APT 305, WEST NEW YORK, NJ 07093-2430

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/03/2025
Last updated
12/03/2025
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