Provider Demographics
NPI:1144646654
Name:ALLARDE, MARIA MINDA VICENTE (CDN/LD)
Entity type:Individual
Prefix:
First Name:MARIA MINDA
Middle Name:VICENTE
Last Name:ALLARDE
Suffix:
Gender:F
Credentials:CDN/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 MONTE CARLO DR
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-3738
Mailing Address - Country:US
Mailing Address - Phone:609-838-0122
Mailing Address - Fax:
Practice Address - Street 1:39 MONTE CARLO DR
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-3738
Practice Address - Country:US
Practice Address - Phone:609-838-0122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003921133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education