LAURA LOUISE SANFORD BANTLE

BOSTON, MA
NPI1407478274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CO  86082245)
Enumeration Date2020-05-14
Last Update Date2021-06-21
Business Address
LAURA LOUISE SANFORD BANTLE RD
75 FRANCIS ST # A
BOSTON, MA 02115-6110
Phone number: 617-983-7280
Mailing Address
LAURA LOUISE SANFORD BANTLE RD
50 STANIFORD ST STE 430
BOSTON, MA 02114-2541
Phone number: 617-726-2040
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