Individual
KIMBERLY A MIRSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
630 PLANTATION STREET, WORCESTER, MA 01605
(508) 852-6175
(508) 595-2941
Mailing address
630 PLANTATION ST WOT 12TH FL, WORCESTER, MA 01605
(508) 852-6175
(508) 595-2941
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
364
MA
Other
Enumeration date
11/06/2006
Last updated
02/18/2009
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