Individual
MRS. ANGELA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CNSC
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5235
(551) 996-5176
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5235
(551) 996-5176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
956449
NJ
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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