Individual
LINDA BANG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(617) 780-8337
(508) 559-5073
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4227
MA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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