Most Relevant Information
Provider Data
NPI Number: | 1003564733 |
Provider Name: | PATRICIA DESROCHES EUGENE FNLP |
Entity Type: | Individual |
Taxonomy Code: | 133NN1002X |
Specialty: | Nutritionist |
License Number: |
Most Important Dates
Enumeration Date: | 03/11/2022 |
Last Updated: | 03/11/2022 |
Provider Practice Location
419 NORTHFIELD AVE STE 1
WEST ORANGE
NJ
070523091
Practice Location Phone/Fax
Phone: | 2017625090 |
Fax: | 5512101912 |
Provider Mailing Location
419 NORTHFIELD AVE STE 1
WEST ORANGE
NJ
070523091
Provider Mailing Phone/Fax
Phone: | 2017625090 |
Fax: | 5512101912 |