Individual
MRS. CARA SUSANNE DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5577
Mailing address
60 WADSWORTH ST APT 14A, CAMBRIDGE, MA 02142-1307
(617) 577-5676
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2417
MA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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