Individual
MAURA A DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CPT
Contact information
Practice address
126 PROSPECT ST, CAMBRIDGE, MA 02139-2536
(617) 744-9233
Mailing address
23B GARDNER ST, ALLSTON, MA 02134-1727
(603) 321-2152
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5383
MA
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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