Individual
MRS. JULIA WADE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
54 WESTFORD RD, CONCORD, MA 01742-5209
(617) 510-0479
Mailing address
54 WESTFORD RD, CONCORD, MA 01742-5209
(617) 510-0479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2132
MA
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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