Mekenzie Rdn LLC
NPI #1194507020 in Boston, Massachusetts
Provider Information
- NPI Number
- 1194507020
- Entity Type
- Organization
- Organization Name
- Mekenzie Rdn LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Oct 16, 2023
- Last Updated
- Oct 16, 2023
Practice Location
- Address
- 40 THOMAS PARK
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02127-2947
- Phone
- (617) 519-0747
Authorized Official
- Name
- MEKENZIE SMITH GUSTAFSON, RDN, LDN
- Title
- OWNER, DIETITIAN
- Phone
- (617) 519-0747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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