Organization
NOURISHED LIFE NUTRITION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE BRISCOE MS, RD, CDN (REGISTERED DIETITIAN)
(315) 528-4711
Entity
Organization
Contact information
Practice address
4801 JOYCE PL, LIVERPOOL, NY 13090-6911
(315) 528-4711
Mailing address
4801 JOYCE PL, LIVERPOOL, NY 13090-6911
(315) 528-4711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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