Individual
GINA LACKEY DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., CNC
Contact information
Practice address
284 SAINT CLOUD AVE, WEST ORANGE, NJ 07052-2508
(862) 222-9595
Mailing address
284 SAINT CLOUD AVE, WEST ORANGE, NJ 07052-2508
(862) 222-9595
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2418
NJ
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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