Individual
PAULA DIAQUE BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
ONE JOSLIN PLACE, 204 LATINO, BOSTON, MA 02215-5306
(617) 309-2400
(617) 309-2457
Mailing address
ONE JOSLIN PLACE, 204 LATINO, BOSTON, MA 02215-5306
(617) 309-2400
(617) 309-2457
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3318
MA
Other
Enumeration date
06/19/2012
Last updated
07/05/2012
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