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Organization
KIDNEY NUTRITION CONSULT, LLC
Active
Organization
KIDNEY NUTRITION CONSULT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAEWOOK HAN PHD,RD,CSR,LDN (OWNER)
(617) 320-2804
Entity
Organization
Contact information
Practice address
285 VICTORY RD, QUINCY, MA 02171-3137
(617) 320-2804
Mailing address
285 VICTORY RD, QUINCY, MA 02171-3137
(617) 320-2804
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
NULL
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
05/03/2021
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