AMY MODRACEK

PROVIDENCE, RI
NPI1033246574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: RI  LDN00543)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: MA  RD657)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
-- AMY MODRACEK RD
134 THURBERS AVE FAMILY SERVICE OF RHODE ISLAND
PROVIDENCE, RI 02905-4754
Phone number: 401-331-1350
Mailing Address
-- AMY MODRACEK RD
1440 PHILLIPS RD
NEW BEDFORD, MA 02745-1958
Phone number: