Individual
MRS. SANDRA MARIE ATHANAS-MOCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5910
Mailing address
43 HASTINGS RD, DEDHAM, MA 02026-5407
(781) 320-3636
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
666
MA
Other
Enumeration date
08/21/2006
Last updated
11/26/2019
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