Organization
NUTRITION SYNERGY, LLC
Active
Other names
Nutrition Synergy
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN GRAHAM MS, RD, LDN (OWNER)
(978) 561-6363
Entity
Organization
Contact information
Practice address
194R NORTH ST, DANVERS, MA 01923-1242
(978) 561-6363
Mailing address
PO BOX 161, TOPSFIELD, MA 01983-0261
(978) 561-6363
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104
NH LICENSURE
NH
01
—
1427568567
TYPE 1 NPI
MA
01
—
4353
MA LICENSURE
MA
Enumeration date
04/29/2021
Last updated
09/24/2024
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