Teaching Fenix Rdn Cafe LLC
NPI #1427683192 in Rockaway, New Jersey
Provider Information
- NPI Number
- 1427683192
- Entity Type
- Organization
- Organization Name
- Teaching Fenix Rdn Cafe LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CYNTHIA L LOPEZ-PETTORINO SOLE MBR
- Primary Specialty
- Nutritionist - Nutrition, Education
- Enumeration Date
- Mar 3, 2020
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 100 ENTERPRISE DR STE 301
- City
- Rockaway
- State
- New Jersey
- ZIP Code
- 07866-2129
- Phone
- (973) 206-2130
Authorized Official
- Name
- MS. CYNTHIA L LOPEZ-PETTORINO, RDN, CDE
- Title
- OWNER, PROVIDER, SINGLE MEMBER LLC
- Phone
- (973) 206-2130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
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