Organization
NUTRITION GUIDANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILONA KHASIN RD (REGISTERED DIETITIAN)
(973) 493-3761
Entity
Organization
Contact information
Practice address
34 ALCOTT DR, LIVINGSTON, NJ 07039-1248
(973) 493-3761
Mailing address
34 ALCOTT DR, LIVINGSTON, NJ 07039-1248
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/04/2018
Last updated
08/04/2018
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