Individual
MRS. PRAVINA THAKOR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
39 LARCH ST, CARTERET, NJ 07008-2470
(732) 969-9739
(732) 969-9739
Mailing address
39 LARCH ST, CARTERET, NJ 07008-2470
(732) 969-9739
(732) 969-9739
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
814113
IL
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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