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Organization

NUTRITION FOR LIFE LIMITED LIABILITY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA GROSSANO RD (OWNER)
(201) 725-9179
Entity
Organization

Contact information

Practice address
446 RADCLIFFE ST, WYCKOFF, NJ 07481-3062
(201) 725-9179
Mailing address
446 RADCLIFFE ST, WYCKOFF, NJ 07481-3062
(201) 725-9179

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
875535
IL

Other

Enumeration date
11/14/2011
Last updated
11/14/2011
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