MEDICARE: MARIA MINDA VICENTE ALLARDE CDN/LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist	003921	NY

General Provider Information

NPI Number	:	1144646654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA MINDA VICENTE ALLARDE CDN/LD

Provider Business Mailing Address
First Line	:	39 MONTE CARLO DR
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3738
Country	:	US
Telephone Number	:	609-838-0122
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 MONTE CARLO DR
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3738
Country	:	US
Telephone Number	:	609-838-0122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2014
Last Update Date	:	03/07/2014

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Directions to “ MARIA MINDA VICENTE ALLARDE CDN/LD” Practice Location

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