MICHAEL MANSUETO LEIDIG

BROOKLINE, MA
NPI1194961656
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MA  668)
Enumeration Date2009-01-05
Last Update Date2009-01-05
Business Address
Mr. MICHAEL MANSUETO LEIDIG RD, LDN
33 KENT ST UNIT 6
BROOKLINE, MA 02445-7977
Phone number: 617-240-4772
Mailing Address
Mr. MICHAEL MANSUETO LEIDIG RD, LDN
33 KENT ST UNIT 6
BROOKLINE, MA 02445-7977
Phone number: 617-240-4772