Organization
THE SOCIAL NUTRITIONIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RUSSELL MS, RD, ATC (FOUNDER & CEO)
(978) 621-3351
Entity
Organization
Contact information
Practice address
16045 W 13TH PL, GOLDEN, CO 80401-2916
(978) 621-3351
Mailing address
16045 W 13TH PL, GOLDEN, CO 80401-2916
(978) 621-3351
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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