Organization
ANCIENT WISDOM, MODERN SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILASAVATHI VENKATACHALAM (PRINCIPAL)
(908) 358-3908
Entity
Organization
Contact information
Practice address
442 ROUTE 202/206 NORTH, #245, BEDMINSTER, NJ 07921
(908) 358-3908
Mailing address
2132 DESERT PEAK RD, LAS VEGAS, NV 89134-0124
(908) 358-3908
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
10/18/2010
Last updated
09/06/2023
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