| NPI | 1972677326 |
|---|---|
| Doing Business As | LONGFELLOW SPORTS CLUB |
| Entity Type | Organization |
| Authorized Contact | JANE POLLEY Dietitian 508-653-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN1011) |
| Enumeration Date | 2006-11-19 |
| Last Update Date | 2020-08-22 |