Individual
SOPHIA TIBERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(781) 343-3198
Mailing address
429 W 4TH ST, SOUTH BOSTON, MA 02127-2653
(781) 343-3198
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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