Organization
IGNITE PERFORMANCE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BUGBEE MS, RD, LDN, CPT (LICENSED DIETITIAN NUTRITIONIST)
(781) 247-5022
Entity
Organization
Contact information
Practice address
17 CONANT DR, BROCKTON, MA 02301-4517
(781) 247-5022
Mailing address
PO BOX 8, SOUTH EASTON, MA 02375-0008
(781) 247-5022
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
09/12/2024
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