Organization
DAETITIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKTORIA RUSINOVA RDN (MEMBER/MANAGER)
(718) 300-1544
Entity
Organization
Contact information
Practice address
18 DAFFODIL WAY, OLD BRIDGE, NJ 08857-3592
(718) 300-1544
Mailing address
18 DAFFODIL WAY, OLD BRIDGE, NJ 08857-3592
(718) 300-1544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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