Individual provider · NPI-1

Sandra J Arevalo, MPH, RD, CDE

Dietitian, Registered · Bronx, NY

NPI number1306199468
StatusActive
Last updated in NPPESOct 25, 2012

Details

NPI
1306199468
Entity type
Individual (NPI-1)
Name
Sandra J Arevalo
Credential
MPH, RD, CDE
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 25, 2012
Last updated
Oct 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

871 Prospect Ave
Bronx, NY 10459-3913

Phone 718-991-0605 · Fax 718-991-2931

Mailing address

871 Prospect Ave
Bronx, NY 10459-3913

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