# MELISSA LANDRY NUTRITION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821730862
- **Authorized official:** MELISSA LANDRY RD LDN (OWNER)
- **Authorized official phone:** (617) 842-4118

## Contact information

- **Practice address:** 37 FAIRVIEW ST \# 1, ROSLINDALE, MA 02131-1627
- **Practice address phone:** (617) 842-4118
- **Mailing address:** 37 FAIRVIEW ST \# 1, ROSLINDALE, MA 02131-1627
- **Mailing address phone:** (617) 842-4118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2022
- **Last updated:** 04/11/2022