Individual
KATHERINE THUY TIEN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
230 BOWDOIN ST, DORCHESTER, MA 02122-1817
(617) 754-0106
Mailing address
14 COMMONWEALTH CT, #16, BRIGHTON, MA 02135-4538
(904) 294-3028
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3171
MA
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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