Individual
JOCELYN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
414 HAVERHILL ST, ROWLEY, MA 01969
(877) 379-5522
Mailing address
414 HAVERHILL ST, ROWLEY, MA 01969-1919
(603) 801-8776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4353
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4353
LICENSED DIETITIAN / NUTRITIONIST
MA
01
—
86027928
REGISTERED DIETITIAN NUTRITIONIST
MA
Enumeration date
10/03/2017
Last updated
08/07/2018
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