Individual
JESSICA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
859 WILLARD ST STE 400, QUINCY, MA 02169-7469
(617) 458-7380
(617) 458-7383
Mailing address
859 WILLARD ST STE 400, QUINCY, MA 02169-7469
(617) 458-7380
(617) 458-7383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/04/2020
Last updated
06/08/2023
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