Individual
SHANA ELIZABETH SPORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
22 HILLIARD ST, CAMBRIDGE, MA 02138-4972
(617) 834-7336
(866) 811-6396
Mailing address
22 HILLIARD ST, CAMBRIDGE, MA 02138-4972
(617) 834-7336
(866) 811-6396
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3024
MA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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