Individual
JAMIE RAE WEISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-8472
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 442-4088
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
5692
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2022
Last updated
09/06/2022
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