Organization
LIVE NUTRITION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET DAVIS MS,RD,LDN,FADA,CDE (NUTRITIONISST OWNER)
(508) 896-9080
Entity
Organization
Contact information
Practice address
26 WAMPUM DR, BREWSTER, MA 02631-1956
(508) 896-9080
(508) 896-3399
Mailing address
26 WAMPUM DR, PO BOX 1709, BREWSTER, MA 02631-1956
(508) 896-9080
(508) 896-3399
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NU445
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NU445
MASSACHUSETTS LICENSE
MA
Enumeration date
03/29/2006
Last updated
04/09/2012
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