PROVIDENCE NUTRITION, LLC

PROVIDENCE, RI
NPI1548775299
Entity TypeOrganization
Authorized ContactNEIL BERANBAUM
Manager
401-465-4222
Organization Subpart ?No
Primary Taxonomy133N00000X Nutritionist
Enumeration Date2017-12-04
Last Update Date2017-12-04
Business Address
PROVIDENCE NUTRITION, LLC
439 BENEFIT ST UNIT 1
PROVIDENCE, RI 02903-2934
Phone number: 401-262-0841
Mailing Address
PROVIDENCE NUTRITION, LLC
439 BENEFIT ST UNIT 1
PROVIDENCE, RI 02903-2934
Phone number: 401-262-0841
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