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Individual

JILLIAN TUCHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
55 LEE RD, LENOX, MA 01240-2703
(917) 841-9758
Mailing address
PO BOX 1931, LENOX, MA 01240-4931
(917) 841-9758

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5026-NU-NU
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5026-NU-NU
STATE LICENSURE
MA
Enumeration date
04/02/2020
Last updated
03/08/2023
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