Individual
JULIE TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
20 MAIN ST, ACTON, MA 01720-3575
(978) 631-0322
Mailing address
PO BOX 618, WESTBOROUGH, MA 01581-0618
(978) 631-0322
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00003873
MA
Other
Enumeration date
10/18/2018
Last updated
10/04/2021
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