Individual
MS. CHRISTA LYNN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
303 SHARON GARDEN CT, WOODBRIDGE, NJ 07095-4317
(908) 217-6371
Mailing address
303 SHARON GARDEN CT, WOODBRIDGE, NJ 07095-4317
(908) 217-6371
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1067475
NJ
136A00000X
Registered Dietetic Technician
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0990
—
NJ
Enumeration date
11/10/2012
Last updated
10/01/2020
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