| Revive Nutrition Llc | |
|
3305 Washington St Unit 401, Jamaica Plain, MA 02130-5322 | |
| (314) 369-3159 | |
| Not Available |
| Full Name | Revive Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3305 Washington St Unit 401, Jamaica Plain, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093345969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Nutrition Llc 3305 Washington St Unit 401, Jamaica Plain, MA 02130-5322 Ph: (314) 369-3159 | Revive Nutrition Llc 3305 Washington St Unit 401, Jamaica Plain, MA 02130-5322 Ph: (314) 369-3159 |
Ms. Irene K O'hayer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2131 | |
Kristin E Heidbreder, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 170 Morton St, Jamaica Plain, MA 02130 Phone: 617-971-3516 | |
Kelly Hanna, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3297 Washington St, Jamaica Plain, MA 02130 Phone: 617-983-6044 | |
Mrs. Christine Rose Reid, R.D., M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 S Huntington Ave # 120, Jamaica Plain, MA 02130 Phone: 617-721-0048 | |
Laura Scarfone, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 170 Morton St, Jamaica Plain, MA 02130 Phone: 617-971-3517 | |
Lauren Lee Berard, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-919-7375 |