Organization
ELLA PODHURST NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA PODHURST (OWNER)
(631) 339-2313
Entity
Organization
Contact information
Practice address
1908 BEACON ST APT 3, BROOKLINE, MA 02445-1987
(631) 339-2313
Mailing address
1908 BEACON ST APT 3, BROOKLINE, MA 02445-1987
(631) 339-2313
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497514202
—
NY
Enumeration date
06/07/2025
Last updated
06/07/2025
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