Organization
SO NUTRITIOUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY O'BRIEN RD (OWNER, EMPLOYEE)
(973) 567-3688
Entity
Organization
Contact information
Practice address
68 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-7604
(973) 567-3688
(973) 567-3688
Mailing address
68 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-7604
(973) 567-3688
(973) 567-3688
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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