Individual
RYAN ROBERT MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
91 SIDNEY ST, CAMBRIDGE, MA 02139-4277
(857) 242-3633
Mailing address
112 SHERMAN RD, CHESTNUT HILL, MA 02467-3179
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4383
MA
Other
Enumeration date
03/07/2018
Last updated
03/15/2018
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