Individual
MS. JOANN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.AC., RD, LDN
Contact information
Practice address
524 BOSTON POST RD, WAYLAND, MA 01778-1833
(508) 358-4900
Mailing address
4 EVERGREEN CIR, WESTFORD, MA 01886-2531
(617) 470-6205
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1980
MA
171100000X
Acupuncturist
Primary
0170
MA
Other
Enumeration date
08/31/2006
Last updated
02/16/2011
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