Organization
NOURISH FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEINEN MS, RDN, LDN (OWNER)
(617) 744-9233
Entity
Organization
Contact information
Practice address
126 PROSPECT ST STE 6, CAMBRIDGE, MA 02139-2540
(617) 744-9233
(617) 300-8910
Mailing address
41 HARRINGTON ST, WATERTOWN, MA 02472-1015
(917) 692-8270
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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