Individual
MS. MARILOU GONZALES NON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2329
Mailing address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
950069
OH
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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