Organization
SHANTI NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS PENNEY RD, LDN (OWNER)
(774) 722-2152
Entity
Organization
Contact information
Practice address
8 EDGAR CT UNIT 2, SOMERVILLE, MA 02145-1409
(774) 722-2152
(833) 232-0836
Mailing address
8 EDGAR CT UNIT 2, SOMERVILLE, MA 02145-1409
(774) 722-2152
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
05/04/2021
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