NPI | 1730527581 |
---|---|
Entity Type | Organization |
Authorized Contact | MERCY DEVADOSS President/Owner 617-291-3824 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 922419) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: MA LDN2144) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2013-06-13 |