Individual
MRS. KATHLEEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD
Contact information
Practice address
155 POLIFLY RD, HACKENSACK, NJ 07601-1758
(201) 441-9970
(201) 441-9979
Mailing address
92 BIRCHWOOD RD, GLEN ROCK, NJ 07452-2117
(201) 441-9970
(201) 441-9979
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
708050
NJ
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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