Embodied Nutrition Llc | |
301 Edgewater Pl Ste 100 Wakefield MA 01880-1281 | |
(781) 222-4640 | |
Not Available |
Full Name | Embodied Nutrition Llc |
---|---|
Speciality | Clinic/center |
Location | 301 Edgewater Pl Ste 100, Wakefield, Massachusetts |
Authorized Official Name and Position | Erin Kuta (OWNER) |
Authorized Official Contact | 7812224640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Embodied Nutrition Llc 301 Edgewater Pl Ste 100 Wakefield MA 01880-1281 Ph: (781) 222-4640 | Embodied Nutrition Llc 301 Edgewater Pl Ste 100 Wakefield MA 01880-1281 Ph: (781) 222-4640 |
NPI Number | 1053906917 |
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Provider Enumeration Date | 03/03/2021 |
Last Update Date | 03/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053906917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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