Individual
AVI MAE PELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3250 W 66TH ST APT 548, EDINA, MN 55435-5514
(651) 447-6737
Mailing address
75 N MAIN ST, MANASQUAN, NJ 08736-2941
(732) 580-5426
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86330378
NJ
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
07/24/2024
Last updated
09/24/2025
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