Organization
INTEGRAL NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE HOWARD MS, RD, LD (OWNER)
(207) 558-3433
Entity
Organization
Contact information
Practice address
59 BALTIMORE AVENUE, SOUTH PORTLAND, ME 04106
(207) 558-3433
Mailing address
59 BALTIMORE AVE, SOUTH PORTLAND, ME 04106-4451
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1270
ME
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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