Individual
ERICKA STACHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
Mailing address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3227
MA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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