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Individual

MS. JENNA VOLPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
1266 FURNACE BROOK PKWY, SUITE 404, QUINCY, MA 02169-4758
(781) 864-4285
Mailing address
1266 FURNACE BROOK PKWY, SUITE 404, QUINCY, MA 02169-4758
(781) 864-4285

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
3475
MA
133V00000X
Registered Dietitian
Primary
1073202
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1760883631
WHOLE-ISTIC LIVING, LLC
MA
01
1851686455
BEHAVIORAL NUTRITION
MA
Enumeration date
05/08/2013
Last updated
11/08/2014
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