Individual
GRACE ENGELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
58 WALNUT AVE, BRANCHVILLE, NJ 07826-6064
(973) 459-9020
Mailing address
58 WALNUT AVE, BRANCHVILLE, NJ 07826-6064
(973) 459-9020
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86080267
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86080267
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
12/15/2021
Last updated
12/15/2021
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