Individual
KYRA TYWANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
155 HAZEL ST, CLIFTON, NJ 07011-3423
(973) 772-3700
Mailing address
21 FIELDSTONE DR, CLINTON, NJ 08809-1390
(908) 894-4561
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86210089
NJ
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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