MS. Kim Marie Pauline, MS

NPI #1538566419 in Park Ridge, New Jersey

Provider Information

NPI Number: 1538566419
Entity Type: Individual
Name: MS. Kim Marie Pauline, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: MS
Enumeration Date: Nov 20, 2014
Last Updated: Nov 3, 2016

Practice Location

Address: 8 S MAPLE AVE
Address 2: SUITE A
City: Park Ridge
State: New Jersey
ZIP Code: 07656-2137
Phone: (315) 383-7862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Nutritionist	133N00000X	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X

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