Individual
CARRIE DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
220 KELTON ST APT 6, BOSTON, MA 02134-4373
(815) 483-7996
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4635
MA
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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