Individual
MS. JENNIFER E HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-7615
(508) 856-1540
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1775
MA
133VN1004X
Pediatric Nutrition Registered Dietitian
1775
MA
Other
Enumeration date
10/03/2006
Last updated
11/10/2020
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