Organization
LIFE EDIT NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE REGUEIRO RD (CEO / REGISTERED DIETITIAN)
(786) 252-9335
Entity
Organization
Contact information
Practice address
10 HANOVER SQ APT 4B, NEW YORK, NY 10005-3531
(786) 252-9335
Mailing address
10 HANOVER SQ APT 4B, NEW YORK, NY 10005-3531
(786) 252-9335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154952752
NPI
—
Enumeration date
04/02/2020
Last updated
04/02/2020
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