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Individual

MYRESE NOCHOMOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
621 DEXTER ST, CENTRAL FALLS, RI 02863-2742
(401) 721-9238
Mailing address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
(401) 721-9238

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00789
RI

Other

Enumeration date
06/17/2014
Last updated
06/17/2014
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