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Individual

GINA SIGNORELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC, RDN

Contact information

Practice address
27 MALVERN PL, VERONA, NJ 07044-2555
(201) 410-5662
Mailing address
27 MALVERN PL, VERONA, NJ 07044-2555
(201) 410-5662

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
NJ
174N00000X
Lactation Consultant (Non-RN)
Primary
L-68704
NJ

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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