Rd 207, LLC

NPI #1043830904 in Bangor, Maine

Provider Information

NPI Number: 1043830904
Entity Type: Organization
Organization Name: Rd 207, LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Apr 21, 2020
Last Updated: Apr 21, 2020

Practice Location

Address: 6 STATE ST STE 607
City: Bangor
State: Maine
ZIP Code: 04401-5140
Phone: (207) 460-0550

Authorized Official

Name: TARA GOULD, MS, RD
Title: REGISTERED DIETITIAN/ LLC MEMBER
Phone: (207) 460-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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