Organization
THRIVE NUTRITION & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LANGSTON CNS, CDN (OWNER/NUTRITIONIST)
(716) 983-4474
Entity
Organization
Contact information
Practice address
4575 MAIN ST STE 3, AMHERST, NY 14226-4567
(716) 983-4474
Mailing address
115 JORDAN RD, AMHERST, NY 14221-4465
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
009264
NY
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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