Poonam Mahajan

NPI #1225563406 in Zuni, New Mexico

Provider Information

NPI Number: 1225563406
Entity Type: Individual
Name: Poonam Mahajan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Apr 26, 2017
Last Updated: Apr 26, 2017

Practice Location

Address: ROUTE 301 NORTH B STREET
City: Zuni
State: New Mexico
ZIP Code: 87327-7405
Phone: (505) 782-4431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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