Individual
MS. SUSAN LUEL HOMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS
Contact information
Practice address
139 3RD AVE, WESTWOOD, NJ 07675-2156
(201) 664-8111
Mailing address
139 3RD AVE, WESTWOOD, NJ 07675-2156
(201) 664-8111
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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