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Organization

JERSEY SHORE NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LENORE E. CLARK R.D. (OWNER)
(732) 822-7117
Entity
Organization

Contact information

Practice address
129 ROUTE 37 W, SUITE 3, TOMS RIVER, NJ 08755-6435
(732) 822-7117
(732) 240-1304
Mailing address
315 PHILADELPHIA AVE, POINT PLEASANT BEACH, NJ 08742-3354
(732) 822-7117
(732) 240-1304

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
701182
NJ

Other

Enumeration date
12/11/2009
Last updated
12/11/2009
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