Vineyard Nutrition LLC
NPI #1376943126 in Edgartown, Massachusetts
Provider Information
- NPI Number
- 1376943126
- Entity Type
- Organization
- Organization Name
- Vineyard Nutrition LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Aug 29, 2014
- Last Updated
- May 9, 2019
Practice Location
- Address
- 256 EDGARTOWN VINEYARD HAVEN RD
- City
- Edgartown
- State
- Massachusetts
- ZIP Code
- 02539-6933
- Phone
- (508) 627-3235
Authorized Official
- Name
- JOSHUA LEVY
- Title
- OWNER
- Phone
- (508) 627-3235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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