Individual
MS. JENNIFER MARY EPHRAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
117 SUMMIT RD, ELIZABETH, NJ 07208-1150
(908) 352-3849
Mailing address
117 SUMMIT RD, ELIZABETH, NJ 07208-1150
(908) 352-3849
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
962629
NJ
Other
Enumeration date
02/21/2010
Last updated
02/21/2010
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