Organization
VINEYARD NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEVY (OWNER)
(508) 627-3235
Entity
Organization
Contact information
Practice address
256 EDGARTOWN VINEYARD HAVEN RD, EDGARTOWN, MA 02539-6933
(508) 627-3235
Mailing address
95 W TISBURY RD, EDGARTOWN, MA 02539-7183
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3260
MA
Other
Enumeration date
08/29/2014
Last updated
05/09/2019
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