Individual
STACIE DELUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 WELLS AVE STE 202, NEWTON, MA 02459-3344
(617) 934-6400
Mailing address
181 WELLS AVE STE 202, NEWTON, MA 02459-3344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86072322
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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