Organization
ADVANCED NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM LAFERRIERE PA (CO-OWNER)
(781) 642-1250
Entity
Organization
Contact information
Practice address
32 SOUTH ST, UNIT 300, WALTHAM, MA 02453-3594
(781) 642-1250
(781) 207-6415
Mailing address
32 SOUTH ST, UNIT 300, WALTHAM, MA 02453-3594
(781) 642-1250
(781) 207-6415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2334
MA
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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