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Organization
HIS RHEMA NUTRITION SERVICES, LLC
Active
Organization
HIS RHEMA NUTRITION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL OYEWOLE ADEYEYE PHD, MPH, RD, CDN (DIRECTOR)
(718) 569-5168
Entity
Organization
Contact information
Practice address
9050 PARSONS BLVD STE 304, JAMAICA, NY 11432-6052
(718) 569-5168
(718) 569-5164
Mailing address
9050 PARSONS BLVD., SUITE 304, JAMAICA, NY 11432-6052
(718) 569-5168
(718) 569-5164
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
005445
NY
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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