Organization
SLM NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA L MENDELSON RD, CDE (NUTRITIONIST/DIETICIAN)
(201) 637-2631
Entity
Organization
Contact information
Practice address
330 GRAND ST, SUITE 100, HOBOKEN, NJ 07030-2728
(201) 637-2631
(973) 696-2433
Mailing address
PO BOX 413, LINCOLN PARK, NJ 07035-0413
(201) 637-2631
(973) 696-2433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
871383
NJ
Other
Enumeration date
02/04/2008
Last updated
02/23/2011
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