Individual
MS. JESSICA LEE MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
32 SCHOOL ST, SOUTH HAMILTON, MA 01982-2525
(617) 605-5187
Mailing address
32 SCHOOL ST, SOUTH HAMILTON, MA 01982-2525
(617) 605-5187
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5506-NU-NU
COMMONWEALTH OF MASSACHUSETTS
MA
01
—
86117635
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
11/07/2022
Last updated
11/07/2022
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