Organization
FUEL FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SUDJIAN MS, RD, LDN (OWNER)
(508) 319-9537
Entity
Organization
Contact information
Practice address
186 ALEWIFE BROOK PKWY # 1065, CAMBRIDGE, MA 02138-1121
(508) 319-9537
Mailing address
186 ALEWIFE BROOK PKWY # 1065, CAMBRIDGE, MA 02138-1121
(508) 319-9537
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4137
MA
Other
Enumeration date
07/03/2018
Last updated
01/15/2021
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