Individual
SUSAN MASSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HSD, RD, CHES
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
380
MA
Other
Enumeration date
04/22/2014
Last updated
06/08/2014
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