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Individual

MRS. GENNA PRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
174 UNION ST, RIDGEWOOD, NJ 07450-4498
(201) 652-5114
(201) 652-6253
Mailing address
121 WOODCLIFF AVE, WOODCLIFF LAKE, NJ 07677-7935
(551) 427-1504

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1013698
NJ

Other

Enumeration date
03/17/2016
Last updated
03/17/2016
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