NPI 1043830904

Rd 207, LLC

Organisation Registered Dietitian Bangor, ME

Practice location

Address: 6 State St STE 607, Bangor, ME 04401-5140
Phone: (207) 460-0550
Mailing address: 301 Wing Rd, Hermon, ME 04401-0418

Authorised official

Name: Tara Gould
Title: Registered Dietitian/ LLC Member
Phone: (207) 460-0550

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Maine →

Registry record

NPI: 1043830904
Entity type: Organization
NPI issued: 21 Apr 2020
Record last updated: 21 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.