Individual
MARA ROSE SANSEVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
301 S HUNTINGTON AVE, BRIGHAM & WOMEN'S ADVANCED PRIMARY CARE ASSOCIATES, SH, JAMAICA PLAIN, MA 02130-4807
(857) 307-3364
Mailing address
301 S HUNTINGTON AVE, BRIGHAM & WOMEN'S ADVANCED PRIMARY CARE ASSOCIATES, SH, JAMAICA PLAIN, MA 02130-4807
(857) 307-3364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2140
MA
Other
Enumeration date
04/18/2007
Last updated
08/04/2011
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