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Individual

KATHLEEN DICHIARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FDN

Contact information

Practice address
5 PRINCESS PINE RD, LINCOLN, RI 02865-4729
(401) 654-7189
Mailing address
2019 SMITH ST, NORTH PROVIDENCE, RI 02911-1717
(401) 400-0930

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CA

Other

Enumeration date
07/23/2020
Last updated
07/23/2020
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