Therealisticdietitian LLC
NPI #1053102426 in Mullica Hill, New Jersey
Provider Information
- NPI Number
- 1053102426
- Entity Type
- Organization
- Organization Name
- Therealisticdietitian LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- May 15, 2025
- Last Updated
- May 15, 2025
Practice Location
- Address
- 107 WILLOW OAKS LN
- City
- Mullica Hill
- State
- New Jersey
- ZIP Code
- 08062-4535
- Phone
- (609) 280-9353
Authorized Official
- Name
- SOPHIA URSINO
- Title
- OWNER
- Phone
- (609) 280-9353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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