Individual
PAMELA COTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1002
MA
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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