Organization
LIBERATED NUTRITION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY BATES MS, RD, LDN (OWNER AND OPERATOR)
(860) 818-3865
Entity
Organization
Contact information
Practice address
399 BOYLSTON ST STE 900, BOSTON, MA 02116-3305
(860) 818-3865
Mailing address
100 LANDSDOWNE ST APT 1002, CAMBRIDGE, MA 02139-4225
(860) 818-3865
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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