Organization
SUSTAINABLE DISH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA RODGERS (OWNER)
(978) 998-9443
Entity
Organization
Contact information
Practice address
185 CONCORD ST, CARLISLE, MA 01741
(978) 223-1440
Mailing address
97 LOWELL RD UNIT A7, CONCORD, MA 01742-1733
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
07/25/2018
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