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Individual

MRS. ABIGAIL USEN BERNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
26 WAMPUM DR, BREWSTER, MA 02631-1956
(508) 896-9080
Mailing address
26 WAMPUM DR, P.O BOX 1709, BREWSTER, MA 02631-1956
(508) 896-9080

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2170
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002556001
MEDICARE PTAN
MA
Enumeration date
06/05/2007
Last updated
04/27/2012
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