Individual
MADELEINE CLARE VAN DUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
385 NIAGARA ST, PROVIDENCE, RI 02907-2016
(401) 516-5573
Mailing address
385 NIAGARA ST, PROVIDENCE, RI 02907-2016
(401) 516-5573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN01089
RI
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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