NPI 1104560374

Fuel2live Nutrition, LLC

Organisation Preferred Provider Organization Dorchester, MA

Practice location

Address: 48 Sudan St APT 3, Dorchester, MA 02125-2079
Phone: (617) 308-0107

Authorised official

Name: Michelle Marie Caslin
Title: Owner/Registered Dietitian
Phone: (617) 308-0107

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1104560374
Entity type: Organization
NPI issued: 25 Apr 2022
Record last updated: 25 Apr 2022

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.