Organization
NUTRITION SYNERGY, LLC
Active
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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