LISA MARIE KEOVONGSA

ARLINGTON, MA
NPI1750859286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MA  4706)
Enumeration Date2018-11-02
Last Update Date2023-10-06
Business Address
LISA MARIE KEOVONGSA RD, LDN
30 STANDISH RD
ARLINGTON, MA 02476-7069
Phone number: 781-430-9833
Mailing Address
LISA MARIE KEOVONGSA RD, LDN
30 STANDISH RD
ARLINGTON, MA 02476-7069
Phone number: 781-430-9833