Jillian M Greaves
Dietitian, Registered in Boston, MA. Organization (NPI-2).
NPI number1659860880
StatusActive
Last updated in NPPESJun 26, 2020
Details
- NPI
- 1659860880
- Entity type
- Organization (NPI-2)
- Legal business name
- Jillian M Greaves
- Organization subpart
- No
- Enumeration date
- May 3, 2018
- Certification date
- Jun 26, 2020
- Last updated
- Jun 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Other names
- Prevention Pantry Nutrition (Doing Business As)
Practice location
665 Boylston St Ste 3Boston, MA 02116-4825
Phone 857-244-0162 · Fax 617-507-6172
Mailing address
665 Boylston St Ste 3Boston, MA 02116-4825
Phone 857-244-0162 · Fax 617-507-6172
Authorized official
Jillian Greaves
Owner
6178030808
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