Individual
MINA PANAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 N MISSISSIPPI AVE, ATLANTIC CITY, NJ 08401-4013
(609) 340-8200
(609) 340-8273
Mailing address
PO BOX 1387, ATLANTIC CITY, NJ 08404-1387
(609) 340-8200
(609) 340-8273
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
26NR18143000
NJ
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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