Provider Demographics
NPI:1790504983
Name:NUTRI HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:NUTRI HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONNATHAN
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:REYES LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:351-322-9598
Mailing Address - Street 1:25 MARSTON ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-2356
Mailing Address - Country:US
Mailing Address - Phone:351-322-9598
Mailing Address - Fax:
Practice Address - Street 1:25 MARSTON ST STE 105
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-2356
Practice Address - Country:US
Practice Address - Phone:351-322-9598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty