Organization
MINDFUL NUTRITION AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENELLE INDELICATO (CEO/OWNER)
(978) 254-3599
Entity
Organization
Contact information
Practice address
14 FLETCHER ST, CHELMSFORD, MA 01824-2713
(978) 254-3599
Mailing address
15 BRENTHAM RD, NORTH BILLERICA, MA 01862-1126
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669082525
TYPE I NPI
—
Enumeration date
08/26/2020
Last updated
08/26/2020
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