Individual
JANE WORTHMAN-LEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
357 SOUTH IRVING ST, RIDGEWOOD, NJ 07450
(201) 819-0563
(201) 612-9771
Mailing address
357 SOUTH IRVING ST., RIDGEWOOD, NJ 07450
(201) 819-0563
(201) 612-9771
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
884262
—
133NN1002X
Nutrition Education Nutritionist
884262
—
133V00000X
Registered Dietitian
Primary
884262
—
133VN1006X
Metabolic Nutrition Registered Dietitian
884262
—
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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