Providence Nutrition, LLC
NPI #1548775299 in Providence, Rhode Island
Provider Information
- NPI Number
- 1548775299
- Entity Type
- Organization
- Organization Name
- Providence Nutrition, LLC
- Primary Specialty
- Nutritionist
- Enumeration Date
- Dec 4, 2017
- Last Updated
- Dec 4, 2017
Practice Location
- Address
- 439 BENEFIT ST UNIT 1
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903-2934
- Phone
- (401) 262-0841
Authorized Official
- Name
- MR. NEIL BERANBAUM
- Title
- MANAGER
- Phone
- (401) 465-4222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist |
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