Individual
MARY JO IARUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
52 JONATHAN DR, TINTON FALLS, NJ 07753-7923
(732) 822-9411
Mailing address
52 JONATHAN DR, TINTON FALLS, NJ 07753-7923
(732) 822-9411
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
682700
NJ
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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