Individual
MRS. TRACY L POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2388 LINDEN PL, MANASQUAN, NJ 08736-1412
(732) 722-8036
Mailing address
2388 LINDEN PL, MANASQUAN, NJ 08736-1412
(732) 722-8036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
845273
NJ
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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