Individual
MS. SAMANTHA FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
998273
MA
Other
Enumeration date
04/23/2010
Last updated
06/12/2020
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