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Individual

SARAH R YOURMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, CDCES

Contact information

Practice address
30 PROSPECT AVE FL WFAN3, HACKENSACK, NJ 07601-1915
(551) 996-5329
(551) 996-0115
Mailing address
102 11TH AVE, HAWTHORNE, NJ 07506-1111
(201) 696-7692
(201) 791-1241

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86059594
IL
2080P0206X
Pediatric Gastroenterology Physician
86059594
IL

Other

Enumeration date
12/04/2020
Last updated
06/13/2022
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