Organization
NOURISHED LIFESTYLES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE OUELLETTE RDN, LD (PRESIDENT)
(207) 837-4473
Entity
Organization
Contact information
Practice address
40 MAIN ST, BIDDEFORD, ME 04005-5178
(207) 837-4473
Mailing address
402 WEBBER HILL RD, KENNEBUNK, ME 04043-6335
(207) 837-4473
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1103
ME
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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