Most Relevant Information
Provider Data
| NPI Number: | 1003502600 |
| Provider Name: | MAIDA VALENTIN B.S., IBCLC |
| Entity Type: | Individual |
| Taxonomy Code: | 133NN1002X |
| Specialty: | Nutritionist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2023 |
| Last Updated: | 04/17/2023 |
Provider Practice Location
60 CORBIN AVE
JERSEY CITY
NJ
073066860
Practice Location Phone/Fax
| Phone: | 5512094708 |
| Fax: |
Provider Mailing Location
60 CORBIN AVE
JERSEY CITY
NJ
073066860
Provider Mailing Phone/Fax
| Phone: | 5512094708 |
| Fax: |