Organization
REDEMPTION BODY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN BOYD JR. (OWNER/MANAGER)
(267) 968-9250
Entity
Organization
Contact information
Practice address
882 N LEX ST, PHILADELPHIA, PA 19104-1353
(267) 438-1994
Mailing address
882 N LEX ST, PHILADELPHIA, PA 19104-1353
(267) 438-1994
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
171400000X
Health & Wellness Coach
Primary
—
—
172A00000X
Driver
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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