GUT GLOW LLC

PORTLAND, ME
NPI1447026125
Entity TypeOrganization
Authorized ContactLYNDA FLAVIA LAWRENCE
Lead Dietitian
650-248-4863
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
Additional Taxonomies133VN1004X Dietitian, Registered Nutrition, Pediatric
133VN1005X Dietitian, Registered Nutrition, Renal
133VN1006X Dietitian, Registered Nutrition, Metabolic
133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management
133VN1501X Dietitian, Registered Nutrition, Sports Dietetics
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
GUT GLOW LLC
411 CONGRESS ST
PORTLAND, ME 04101-3505
Phone number: 650-248-4863
Mailing Address
GUT GLOW LLC
635 W 170TH ST APT 2E
NEW YORK, NY 10032-3226
Phone number: 650-248-4863