Individual
KATHERINE E. TRUSCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6444
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
947
MA
Other
Enumeration date
09/22/2006
Last updated
04/08/2009
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