Individual
JULENE STASSOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
171 FRANKLIN TPKE, SUITE 110, WALDWICK, NJ 07463-1849
(201) 612-5100
Mailing address
2041 EDWIN AVE, FORT LEE, NJ 07024-2934
(201) 947-8868
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
867918
NJ
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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