Individual
DANIEL ROSS CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED DIETITIAN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4580-NU-NU
MA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
09/25/2013
Last updated
12/05/2022
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