Evergreen Nutrition LLC
NPI #1033936570 in Medford, Massachusetts
Provider Information
- NPI Number
- 1033936570
- Entity Type
- Organization
- Organization Name
- Evergreen Nutrition LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Sep 25, 2024
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 34 EMERALD ST
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-2808
- Phone
- (857) 496-5142
Authorized Official
- Name
- ELSEY WEISBERG, RDN
- Title
- OWNER
- Phone
- (857) 496-5142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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