Individual
AMANDA CHRYSLAN SCIPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2 OAK KNOLL DRIVE, WOBURN, MA 01801
(781) 572-0043
Mailing address
2 OAK KNOLL DR, WOBURN, MA 01801-3504
(781) 572-0043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86028430
MA
Other
Enumeration date
09/22/2018
Last updated
09/22/2018
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