Individual
KELLY ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 HARVARD AVE, MEDFORD, MA 02155-3564
(617) 869-9666
Mailing address
103 HARVARD AVE, MEDFORD, MA 02155-3564
(617) 869-9666
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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