Individual
JULIENNE FLORIVAL DESRAVINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN LDN
Contact information
Practice address
113 WILLIAMS RD, ASHBURNHAM, MA 01430
(857) 246-0911
Mailing address
113 WILLIAMS RD, ASHBURNHAM, MA 01430-1664
(857) 246-0911
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
2304
MA
133V00000X
Registered Dietitian
Primary
2304
MA
Other
Enumeration date
06/21/2016
Last updated
07/05/2018
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