Leg Up Nutrition, LLC
NPI #1265112817 in Salem, Massachusetts
Provider Information
- NPI Number
- 1265112817
- Entity Type
- Organization
- Organization Name
- Leg Up Nutrition, LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jul 19, 2023
- Last Updated
- Jul 19, 2023
Practice Location
- Address
- 203 WASHINGTON ST APT 166
- City
- Salem
- State
- Massachusetts
- ZIP Code
- 01970-3607
- Phone
- (978) 712-0772
Authorized Official
- Name
- ALLEGRA EGIZI, MS, RD, LDN
- Title
- OWNER, REGISTERED DIETITIAN
- Phone
- (978) 712-0772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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