Organization
SMC NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY M COHEN RD, LDN (OWNER & REGISTERED DIETITIAN)
(857) 273-0744
Entity
Organization
Contact information
Practice address
56 SIGOURNEY ST, BOSTON, MA 02130-2937
(857) 273-0744
Mailing address
56 SIGOURNEY ST, BOSTON, MA 02130-2937
(857) 273-0744
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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