Individual
DIANDRA AUDREY AJEMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
34 N PEARL ST, BROCKTON, MA 02301-1708
(857) 275-9745
Mailing address
34 N PEARL ST RM 172, BROCKTON, MA 02301-1708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN7068
MA
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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