Individual
OLIVIA J BENGTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 GRAND OAK RD, FORESTDALE, MA 02644-1203
(508) 776-3691
Mailing address
19 GRAND OAK RD, FORESTDALE, MA 02644-1203
(508) 776-3691
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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