Individual
MS. PAULA FRANCES REVELIOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN
Contact information
Practice address
122 BARTLETT ST, CHARLESTOWN, MA 02129-2419
(617) 241-5554
Mailing address
122 BARTLETT ST, CHARLESTOWN, MA 02129-2419
(617) 241-5554
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
774
MA
133V00000X
Registered Dietitian
Primary
R418015
MA
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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