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Individual

BENJAMIN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
148 W RIVER ST STE 2, PROVIDENCE, RI 02904-2615
(401) 793-7837
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
01051
RI
133V00000X
Registered Dietitian
Primary
LDN01051
RI

Other

Enumeration date
05/16/2022
Last updated
06/02/2022
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