Individual
STACY VOLESKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCN, HHC
Contact information
Practice address
186 WAYNE ST, APT 215D, JERSEY CITY, NJ 07302-5407
(732) 749-0322
Mailing address
186 WAYNE ST, APT 215D, JERSEY CITY, NJ 07302-5407
(732) 749-0322
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
4076
—
Other
Enumeration date
08/25/2011
Last updated
08/29/2011
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