Provider Demographics
NPI:1740866946
Name:GILLEO, JULIANNA (RDN)
Entity type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:GILLEO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 ORIOLE DR
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-3116
Mailing Address - Country:US
Mailing Address - Phone:973-229-1668
Mailing Address - Fax:
Practice Address - Street 1:36 ORIOLE DR
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3116
Practice Address - Country:US
Practice Address - Phone:973-229-1668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86003505133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered