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Contact Information

VITALITY NUTRITION AND WELLNESS CENTER LLC
2000 SHORE ROAD
SUITE 104
LINWOOD, NJ08221
 Phone: 609-904-5627
 Fax: 609-939-2750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for VITALITY NUTRITION AND WELLNESS CENTER LLC · (Female)

NPI Number 1720451263
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2015
Last updated 07/06/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • License # 934375
  • NJ License # 1053024
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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