MS. Nicole Longoria, DTR, NPTI, NSCA-CPT
NPI #1720373178 in Edison, New Jersey
Provider Information
- NPI Number
- 1720373178
- Entity Type
- Individual
- Name
- MS. Nicole Longoria, DTR, NPTI, NSCA-CPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietetic Technician, Registered
- Credential
- DTR, NPTI, NSCA-CPT
- Enumeration Date
- Jun 14, 2011
- Last Updated
- Jun 14, 2011
Practice Location
- Address
- 1310 WALLACE ST
- City
- Edison
- State
- New Jersey
- ZIP Code
- 08817-3384
- Phone
- (732) 754-8308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietetic Technician, Registered |
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