NPI 1225648397

C.L.U.B Blessed Weight Management INC.

Organisation Nutrition Education Nutritionist Pawtucket, RI

Practice location

Address: 250 Main St, Pawtucket, RI 02860-4016
Phone: (774) 379-9761
Mailing address: 102 Moore St, Providence, RI 02907-1505

Authorised official

Name: Stephanie Jean Barboza
Title: Fitness & Nutrition Specialist
Phone: (774) 379-9761

Registered specialties (2)

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Other Nutritionist providers in Rhode Island →

Point of Service

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Rhode Island →

Registry record

NPI: 1225648397
Entity type: Organization
NPI issued: 4 Aug 2020
Record last updated: 4 Aug 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.