Individual
MS. ASHLEY JERMAINE WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 443-3411
Mailing address
30 HERITAGE PATH, MILLIS, MA 02054-1750
(781) 441-9165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5548
MA
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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