Individual
MS. STACEY PENNIMPEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
24 STELTON RD STE D, PISCATAWAY, NJ 08854-2668
(732) 395-1282
Mailing address
253 RIVERVIEW DR, BRIDGEWATER, NJ 08807-1544
(908) 285-8114
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86051288
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86051288
COMMISSION ON DIETETIC REGISTRATION
NJ
Enumeration date
12/12/2022
Last updated
12/12/2022
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