Individual
MS. NIXIE GRACE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
12 EASTBOURNE ST, ROSLINDALE, MA 02131-3313
(617) 818-3128
Mailing address
12 EASTBOURNE ST, ROSLINDALE, MA 02131-3313
(617) 818-3128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1460
MA
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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