Individual
MISS MICHAELA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 309-9002
Mailing address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 309-9002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4619
MA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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