Organization
BOTI DIET LLC
Active
Other names
Boti Diet LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY HALL (OWNER)
(401) 595-2879
Entity
Organization
Contact information
Practice address
6 HOOD AVE, RUMFORD, RI 02916-1504
(401) 595-2879
Mailing address
6 HOOD AVE, RUMFORD, RI 02916-1504
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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