Provider Demographics
NPI:1699405233
Name:JAMHOUR, BESAN
Entity Type:Individual
Prefix:
First Name:BESAN
Middle Name:
Last Name:JAMHOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 GETTY AVE
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2215
Mailing Address - Country:US
Mailing Address - Phone:201-673-8047
Mailing Address - Fax:
Practice Address - Street 1:384 GETTY AVE
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2215
Practice Address - Country:US
Practice Address - Phone:201-673-8047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist