Organization
NOURISH YOUR BODY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISE CHASSEN SOPOV RD (MEMBER)
(973) 200-0896
Entity
Organization
Contact information
Practice address
1376 POMPTON AVE, CEDAR GROVE, NJ 07009-1011
(973) 200-0896
(844) 436-5129
Mailing address
71 BERGEN DR, LITTLE FALLS, NJ 07424-1341
(973) 200-0896
(844) 436-5129
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
933904
NJ
Other
Enumeration date
11/15/2010
Last updated
01/27/2017
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