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Organization

AVOCADO A DAY NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHAEL HARTLEY RD (OWNER)
(803) 381-3304
Entity
Organization

Contact information

Practice address
1898 CALHOUN ST, BLDG #5, COLUMBIA, SC 29201
(803) 381-3304
Mailing address
337 PARK ST, BOSTON, MA 02124-1301
(803) 381-3304

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568628998
NPI
01
1962927152
NPI
Enumeration date
03/09/2023
Last updated
03/09/2023
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