Individual
LISA A. STAAS-HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1 EVES DR, SUITE 126, MARLTON, NJ 08053-3125
(856) 626-0040
Mailing address
1 EVES DR, SUITE 126, MARLTON, NJ 08053-3125
(856) 626-0040
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
707626
NJ
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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