Organization
REVIVE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A SABADA RD (OWNER, REGISTERED DIETITIAN)
(314) 369-3159
Entity
Organization
Contact information
Practice address
3305 WASHINGTON ST UNIT 401, JAMAICA PLAIN, MA 02130-5322
(314) 369-3159
Mailing address
3305 WASHINGTON ST UNIT 401, JAMAICA PLAIN, MA 02130-5322
(314) 369-3159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
07/10/2024
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