Individual
MS. SUSAN MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
25 CENTRAL ST, WEST BROOKFIELD, MA 01585-3141
(508) 867-3371
Mailing address
25 CENTRAL ST, WEST BROOKFIELD, MA 01585-3141
(508) 867-3371
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
723797
MA
175F00000X
Naturopath
—
—
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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