Provider Demographics
NPI:1043720568
Name:RABELO, JULIANE BARBOSA (NC)
Entity type:Individual
Prefix:MRS
First Name:JULIANE
Middle Name:BARBOSA
Last Name:RABELO
Suffix:
Gender:F
Credentials:NC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2 EASTBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6146
Mailing Address - Country:US
Mailing Address - Phone:908-309-1242
Mailing Address - Fax:908-309-1242
Practice Address - Street 1:2 EASTBOURNE AVE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6146
Practice Address - Country:US
Practice Address - Phone:908-309-1242
Practice Address - Fax:908-309-1242
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist