Individual
EMILY SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
1101 BEACON ST, SUITE 4W, BROOKLINE, MA 02446-5587
(617) 680-3888
Mailing address
1101 BEACON ST, SUITE 4W, BROOKLINE, MA 02446-5587
(617) 680-3888
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3054
MA
Other
Enumeration date
10/15/2016
Last updated
10/15/2016
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