Individual
KATHERINE ELEANOR EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
478 COLUMBUS AVE, BOSTON, MA 02118-3137
(616) 250-7484
Mailing address
478 COLUMBUS AVE APT 3, BOSTON, MA 02118-3137
(616) 250-7484
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN6955
MA
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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