Individual
MRS. BRITTANY ELIZABETH DEPAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6177
(617) 730-4722
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6177
(617) 730-4722
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
3060
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200445
—
MA
Enumeration date
08/09/2011
Last updated
09/09/2015
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