Doctor Name: | MARIA MINDA VICENTE ALLARDE |
NPI Number: | 1144646654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CDN/LD |
License Number: | 003921 |
Business Practice Address: | 39 Monte Carlo Dr Robbinsville, NJ - 086913738 |
Business Phone Number: | 6098380122 |
Business Fax Number: | |
Mailing Address: | 39 Monte Carlo Dr, ROBBINSVILLE |
State: | NJ |
Postal Code: | 086913738 |
Phone Number: | 6098380122 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2014 |
NPI Last Update Date: | 03/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 003921 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |