Advanced Nutrition, LLC
NPI #1174947253 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1174947253
- Entity Type
- Organization
- Organization Name
- Advanced Nutrition, LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Feb 11, 2014
- Last Updated
- Feb 11, 2014
Practice Location
- Address
- 32 SOUTH ST
- Address 2
- UNIT 300
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02453-3594
- Phone
- (781) 642-1250
Authorized Official
- Name
- ADAM LAFERRIERE, PA
- Title
- CO-OWNER
- Phone
- (781) 642-1250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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