Individual
TARA ALIZA ABISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
205 WYNATT ST, LAKEWOOD, NJ 08701-4839
(732) 363-2010
Mailing address
79 CANARY DR, LAKEWOOD, NJ 08701-5453
(848) 221-0353
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86087302
NJ
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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