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Individual

HAILEY PAIGE LONDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
24 RICHARDSON ST, #1, BROOKLYN, NY 11211-1208
(201) 745-3033
Mailing address
24 RICHARDSON ST, #1, BROOKLYN, NY 11211-1208
(201) 745-3033

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
865271

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
865271
CDR
NY
Enumeration date
09/14/2009
Last updated
09/14/2009
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