Organization
SERENITY NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SHAW MS, RD, LDN (OWNER/DIETITIAN)
(339) 613-7796
Entity
Organization
Contact information
Practice address
859 WILLARD ST STE 400, QUINCY, MA 02169-7469
(617) 458-7380
(617) 458-7383
Mailing address
859 WILLARD ST STE 400, QUINCY, MA 02169-7469
(617) 458-7380
(617) 458-7383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
06/08/2023
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