Individual
REBECCA SARA HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
939 HARDING RD, ELIZABETH, NJ 07208-1013
(908) 220-7556
Mailing address
939 HARDING RD, ELIZABETH, NJ 07208-1013
(908) 220-7556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
816802
NJ
133V00000X
Registered Dietitian
816802
NY
Other
Enumeration date
04/29/2020
Last updated
06/01/2020
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