Individual
ELIZABETH DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
263 W PELHAM RD, SHUTESBURY, MA 01072-9704
(413) 461-8844
Mailing address
263 W PELHAM RD, SHUTESBURY, MA 01072-9704
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000003056
MA
Other
Enumeration date
10/18/2010
Last updated
10/22/2010
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