Individual
SIMONE JOYCE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
VA DEPARTMENT OF VETERAN AFFAIRS, 385 TREMONT AVE., EAST ORANGE, NJ 07018
(973) 676-1000
Mailing address
20 LOWELL AVE, SUMMIT, NJ 07901-1548
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86059321
NJ
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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