Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KACY ROMEO DISANTILLO
Active Sole ProprietorKACY ROMEO DISANTILLO is a Nutritionist healthcare provider located in LINWOOD, New Jersey. NPI 1609475391 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · LINWOOD, NJ
Registration Details
- NPI Number
- 1609475391
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2020 (5.8551267301731 yrs)
- Last Updated
- Oct 23, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
2000 SHORE RD STE 104LINWOOD, NJ, 082212100Browse NJ providers · Browse ZIP 08221
- Phone
- 6099045627
- Primary Specialty
-
Nutritionist
133N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.