Organization
LUNA NUTRITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE STINE RD, CD, LDN (OWNER/REGISTERED DIETITIAN)
(509) 954-8648
Entity
Organization
Contact information
Practice address
13 KEMPF ST, KITTERY, ME 03904-1367
(509) 954-8648
Mailing address
13 KEMPF ST, KITTERY, ME 03904-1367
(509) 954-8648
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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