Individual
MS. CONSTANCE DESMOND MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1400 VFW PARKWAY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
874 EAST 2ND STREET, SOUTH BOSTON, MA 02127
(617) 268-9204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1684
MA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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