Organization
HISPANIC FOODWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA DRAGO MS, RDN, CDN, CDCE (OWNER)
(203) 828-0028
Entity
Organization
Contact information
Practice address
6 WOODBINE AVE, GREENWOOD LAKE, NY 10925-2632
(000) 000-0000
Mailing address
6 WOODBINE AVE, GREENWOOD LAKE, NY 10925-2632
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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