Individual
MS. JESSICA AMIDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 SURREY ST, BRIGHTON, MA 02135-2633
(617) 319-4797
Mailing address
71 SURREY ST, BRIGHTON, MA 02135-2633
(617) 319-4797
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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