Individual
MICHELLE MCKEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN
Contact information
Practice address
1155 SYCAMORE LN, MAHWAH, NJ 07430-2354
(201) 805-8837
Mailing address
1155 SYCAMORE LN, MAHWAH, NJ 07430-2354
(201) 805-8837
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001938
CT
133N00000X
Nutritionist
OO1938
CT
133N00000X
Nutritionist
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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