Western Reserve Nutrition
Western Reserve Nutrition is a Registered Dietitian in Streetsboro, Ohio. Licensed in Ohio. Registered with an NPI since 2016.
- Licensed in
- OH
- In the registry since
- 2016
Practice location Address checks out
9205 State Route 43 Ste 106Streetsboro, OH 44241-5366
Phone: (330) 554-9327
Fax: (330) 294-5651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 4344 (OH) |
|---|
Record details
| NPI number | 1356883474 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carolyn Bouquot — Owner · (330) 554-9327 |
| NPI enumerated | November 7, 2016 |
| Last updated in NPPES | November 12, 2020 |
| Certification date | November 12, 2020 |
| Mailing address | 5757 Bradford Way, Hudson, OH 44236-3901 |
Other providers in Streetsboro
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Carolyn Joseph Bouquot, RD, LD
9205 State Route 43 Ste 106, Streetsboro, OH 44241-5366 · (330) 554-9327