Individual
MRS. DEBORAH WANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6000
Mailing address
1071 METHUEN ST, DRACUT, MA 01826-5312
(978) 458-3748
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2028
MA
Other
Enumeration date
07/04/2007
Last updated
07/08/2007
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