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1720638992
TIDEWATER NUTRITION & WELLNESS LLC
PORTLAND, ME
NPI
1720638992
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Entity Type
Organization
Authorized Contact
KRISTINE TAYLOR
Registered Dietitian/Owner
207-358-0154
Organization Subpart ?
No
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
TIDEWATER NUTRITION & WELLNESS LLC
52 COVE ST
PORTLAND, ME 04101-2514
Phone number: 207-358-0154
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Mailing Address
TIDEWATER NUTRITION & WELLNESS LLC
52 COVE ST
PORTLAND, ME 04101-2514
Phone number:
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