Organization
AHAVA NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HABER (OWNER)
(949) 300-7187
Entity
Organization
Contact information
Practice address
419 MOODY ST. SUITE 1, WALTHAM, MA 02453
(617) 396-7349
Mailing address
405 WALTHAM ST STE 317, LEXINGTON, MA 02421-7934
(617) 396-7349
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
07/05/2025
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