Provider Demographics
NPI:1649391947
Name:RENDERS, EILEEN T (NUTRITIONIST ND)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:T
Last Name:RENDERS
Suffix:
Gender:F
Credentials:NUTRITIONIST ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 SOMERS POINT RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-8516
Mailing Address - Country:US
Mailing Address - Phone:609-927-2292
Mailing Address - Fax:609-927-4527
Practice Address - Street 1:1540 SOMERS POINT RD
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-8516
Practice Address - Country:US
Practice Address - Phone:609-927-2292
Practice Address - Fax:609-927-4527
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist