Individual
BROOKE WHINNEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
44 BINNEY ST, SW540, BOSTON, MA 02115-6013
(617) 582-7853
Mailing address
12 PIERCE ST, QUINCY, MA 02171-2334
(617) 582-7853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1186
STATE LICENSURE
MA
01
—
863923
REGISTERED DIETITIAN
—
Enumeration date
12/13/2006
Last updated
07/08/2007
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