Candice Lyn Wasolaskus, R.D.
Dietitian, Registered in Vineland, NJ. Individual provider (NPI-1).
NPI number1144656604
StatusActive
Last updated in NPPESNov 3, 2016
Details
- NPI
- 1144656604
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Candice Lyn Wasolaskus
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2013
- Last updated
- Nov 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1036618 | NJ | Yes |
Practice location
1103 West Sherman AvenueBuilding 2 Unit C
Vineland, NJ 08360
Phone 856-362-5259 · Fax 856-407-6978
Mailing address
1103 West Sherman AvenueBuilding 2 Unit C
Vineland, NJ 08360
Phone 856-362-5259 · Fax 856-407-6978
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All 14 Registered Dietitian providers in Vineland · All 1,979 providers in Vineland
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