Organization
GREENE NUTRITION, LLC
Active
Other names
Greene Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MURACHVER MS, RD, LDN, CDE (OWNER/REGISTERED DIETITIAN)
(617) 356-7037
Entity
Organization
Contact information
Practice address
525 MASSACHUSETTS AVE STE 101C, ACTON, MA 01720-2963
(617) 356-7037
Mailing address
7 ABBY RD, WESTFORD, MA 01886-4531
(603) 494-5234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760802797
—
MA
Enumeration date
01/22/2021
Last updated
01/22/2021
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