Individual
DARIANA SOTO-REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
73D WINTHROP AVE, LAWRENCE, MA 01843-3716
(978) 686-3017
(978) 685-5612
Mailing address
73D WINTHROP AVE, LAWRENCE, MA 01843-3716
(978) 686-3017
(978) 685-5612
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000003331
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1613
DIETITIAN'S LICENSE
PR
Enumeration date
12/29/2010
Last updated
02/01/2013
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