Individual
MS. ELIZABETH A CARRARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CEDRD
Contact information
Practice address
65 N MAPLE AVE STE 204, RIDGEWOOD, NJ 07450-3233
(802) 558-9128
Mailing address
65 N MAPLE AVE STE 204, RIDGEWOOD, NJ 07450-3233
(802) 558-9128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86018958
NJ
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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