Individual
ANDREA DAWN BAZZANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
37 BROWNING AVE, BAYVILLE, NJ 08721-1237
(316) 204-0841
Mailing address
37 BROWNING AVE, BAYVILLE, NJ 08721-1237
(316) 204-0841
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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