Individual
TARA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CSP LDN CBDT
Contact information
Practice address
85 WETHERBEE RD, WALTHAM, MA 02453-7624
(617) 538-9619
Mailing address
85 WETHERBEE RD, WALTHAM, MA 02453-7624
(617) 538-9619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2666
MA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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