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Individual

CHARMAINE VINCENT HAAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
84 GODFREY DR, NORTON, MA 02766-1368
(508) 952-2120
Mailing address
84 GODFREY DR, NORTON, MA 02766-1368
(508) 952-2120

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
355
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
494470
TUFTS ANCILLARY PROVIDER
MA
01
AA43414
HARVARD-PILGRIM ANCILLARY
MA
01
LD0172
BCBS PROVIDER
MA
Enumeration date
01/02/2007
Last updated
06/01/2016
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