Individual
DOMINIQUE DESLAURIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
264 N MAIN ST STE 7, EAST LONGMEADOW, MA 01028-1815
(413) 636-9652
Mailing address
264 N MAIN ST STE 7, EAST LONGMEADOW, MA 01028-1815
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
4333
MA
Other
Enumeration date
03/25/2020
Last updated
11/27/2023
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