Individual
KATELYN BRIDGESTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CLC
Contact information
Practice address
4 S MAIN ST, FALL RIVER, MA 02721-5327
(508) 840-3688
Mailing address
4 S MAIN ST, FALL RIVER, MA 02721-5327
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1017627
MA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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