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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