NICOLETTE GABRIELLA FATA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007103

License Status

ACTIVE

Business

First Name

NICOLETTE

Middle

GABRIELLA

Last Name

FATA

Business Name

NICOLETTE GABRIELLA FATA

Original Issue Date

04/06/2017

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

WESTLAND

State

Zip

48185

Ever Disciplined

LastModifiedDate

08/05/2025