Individual
KRISTINE MIKLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 MAIN ST OFC 334, CHARLESTOWN, MA 02129-1125
(617) 999-3896
(877) 743-5351
Mailing address
165 CAMBRIDGE ST STE 402, BOSTON, MA 02114-2750
(617) 726-2779
(877) 743-5351
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4694
MA
Other
Enumeration date
06/12/2019
Last updated
09/13/2021
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