Organization Name: | JERSEY SHORE NUTRITION |
NPI Number: | 1508195017 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LENORE E. CLARK (OWNER) |
Mailing Address: | 129 Route 37 W Suite 3 Toms River |
State: | NJ US |
Postal Code: | 087556435 |
Phone Number: | 7328227117 |
Fax Number: | 7322401304 |
NPI Enumeration Date: | 12/11/2009 |
NPI Last Update Date: | 12/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 701182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |