Individual
VANIKA JETHWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD/RD
Contact information
Practice address
4 WESTMINSTER AVE APT 1, BOSTON, MA 02119-1595
(860) 371-1907
Mailing address
4 WESTMINSTER AVE APT 1, BOSTON, MA 02119-1595
(860) 371-1907
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1009
NH
133V00000X
Registered Dietitian
Primary
LDN4743
MA
Other
Enumeration date
03/21/2019
Last updated
03/27/2023
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