Organization
SOUL HEALTHY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN J. SOUL (OWNER)
(617) 512-0582
Entity
Organization
Contact information
Practice address
7 RESERVOIR RD STE 2, BEVERLY, MA 01915-5501
(617) 512-0582
Mailing address
7 RESERVOIR RD STE 2, BEVERLY, MA 01915-5501
(617) 512-0582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
03/26/2020
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