Organization
TRUROOTS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FANO RD (OWNER)
(973) 865-2460
Entity
Organization
Contact information
Practice address
74 HORSENECK RD, MONTVILLE, NJ 07045-9303
(973) 865-2460
Mailing address
74 HORSENECK RD, MONTVILLE, NJ 07045-9303
(973) 865-2460
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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