Individual
NICOLETTE STAR MAGGIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
249 WINTHROP SHORE DR APT 5, WINTHROP, MA 02152-1153
(201) 458-4065
Mailing address
249 WINTHROP SHORE DR APT 5, WINTHROP, MA 02152-1153
(201) 458-4065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4192
MA
Other
Enumeration date
09/14/2016
Last updated
10/30/2021
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