Individual
MARY LYNNE HIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
ONE HOPPIN ST., CORO CENTER, 3RD FLOOR, PROVIDENCE, RI 02903
(401) 793-8790
(401) 793-8709
Mailing address
PO BOX 3238, BOSTON, MA 02241
(866) 689-8862
(207) 347-7401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00107
RI
Other
Enumeration date
02/28/2008
Last updated
03/26/2009
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