Individual
THERESA CHIASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(617) 281-5830
Mailing address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(617) 283-5301
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1537
MA
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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