NPI 1720373178

Nicole Longoria, DTRNPTINSCACPT

Practitioner Registered Dietetic Technician Edison, NJ

Practice location

Address: 1310 Wallace St, Edison, NJ 08817-3384
Phone: (732) 754-8308
Fax: (732) 662-9392

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X

Other Dietetic Technician, Registered providers in New Jersey →

Registry record

NPI: 1720373178
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2011
Record last updated: 14 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.