Elite Wellness

NPI #1568692135 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1568692135
Entity Type: Organization
Organization Name: Elite Wellness
Primary Specialty: Nutritionist
Enumeration Date: Jul 17, 2009
Last Updated: Jul 17, 2009

Practice Location

Address: 18 HYDE PARK AVE
Address 2: SUITE 4
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-4163
Phone: (617) 522-4397

Authorized Official

Name: MISHELL RONICA BROOKINS
Title: PRESIDENT
Phone: (617) 522-4397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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