Individual
ELIZABETH HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDCES
Contact information
Practice address
246 W MADISON AVE, DUMONT, NJ 07628-3318
(201) 704-3877
Mailing address
246 W MADISON AVE, DUMONT, NJ 07628-3318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
940978
NJ
Other
Enumeration date
11/04/2012
Last updated
10/21/2021
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