Organization
BLOSSOM NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANNE MCQUEEN MS, RDN (MEMBER)
(270) 484-2111
Entity
Organization
Contact information
Practice address
143 EASTERN AVE, SOMERVILLE, NJ 08876-2503
(270) 484-2111
Mailing address
143 EASTERN AVE, SOMERVILLE, NJ 08876-2503
(270) 484-2111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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