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Organization

EAT WELL WITH GINA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA M CONSALVO MA, RD, LDN, NCC (MEMBER)
(908) 827-1482
Entity
Organization

Contact information

Practice address
417 CATTELL ST, SUITE 2R, EASTON, PA 18042-1703
(908) 827-1482
Mailing address
2910 GREEN POND RD, EASTON, PA 18045-2505
(908) 827-1482

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005083
PA

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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