NPI | 1891230058 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA VASKELIS CFO 617-628-2601 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 1926) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 1926) |
Enumeration Date | 2016-12-27 |
Last Update Date | 2024-05-10 |