Individual
MRS. MARY E STRATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
271 CAREW ST, NUTRITION DEPARTMENT, SPRINGFIELD, MA 01104-2377
(413) 748-9183
(413) 736-1779
Mailing address
271 CAREW ST, P.O. BOX 9012, SPRINGFIELD, MA 01104-2377
(413) 748-9183
(413) 736-1779
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2207
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00918051
ADA MEMBER #
—
01
—
2207
MA LICENSE #
MA
Enumeration date
06/11/2008
Last updated
06/11/2008
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