Individual
JENNIFER LEE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSRD
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-6783
Mailing address
320 SYLVAN LN, MANCHESTER, NH 03102-8420
(603) 494-9310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3120
MA
Other
Enumeration date
12/22/2010
Last updated
03/12/2011
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