Individual
GINA DESOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
249 SHEARS ST, WRENTHAM, MA 02093-1042
(508) 455-7424
Mailing address
249 SHEARS ST, WRENTHAM, MA 02093-1042
(508) 455-7424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN6902
MA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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