Provider Demographics
NPI:1700628872
Name:FARAJ-ARDURA CONSULTING LLC
Entity type:Organization
Organization Name:FARAJ-ARDURA CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCELYN
Authorized Official - Middle Name:MINETTE
Authorized Official - Last Name:FARAJ-ARDURA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MS, RDN, LDN
Authorized Official - Phone:413-230-9706
Mailing Address - Street 1:20 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2438
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13 MAIN ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2415
Practice Address - Country:US
Practice Address - Phone:413-230-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty