Individual
KAREN PALMER WICZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
373 HIGHLAND AVE STE 201, SOMERVILLE, MA 02144-2547
(617) 492-4995
Mailing address
48 PROVIDENCE RD, WESTFORD, MA 01886-2607
(603) 566-6183
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2183
MA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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