Individual
CATHERINE ANN DIANCO SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
16 SOVEREIGN DR, FLANDERS, NJ 07836-0229
(201) 602-5630
Mailing address
16 SOVEREIGN DR, FLANDERS, NJ 07836-0229
(201) 602-5630
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86054961
NJ
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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