ELLEN J MATHESON FUNCTIONAL WELLNESS SOLUTIONS LLC NPI 1417404302

NPI Information

ELLEN J MATHESON FUNCTIONAL WELLNESS SOLUTIONS, LLC is a nutrition and education nutritionist in Charleston, SC. ELLEN J MATHESON FUNCTIONAL WELLNESS SOLUTIONS, LLC NPI is 1417404302. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Eljema Wellness.

The provider's business location address is:

621 WAPPOO RD
SEED OF LIFE COLLECTIVE
CHARLESTON, SC
ZIP 29407-800
Phone: (843) 410-8567

The provider's authorized official is Ellen J Matheson .
The authorized official title is Certified Nutrition Specialist and has the following contact phone number (843) 410-8567.

The enumeration date for this NPI number is 9/8/2016 and was last updated on 9/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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