Individual
MELISSA MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
365 EAST ST, TEWKSBURY, MA 01876-1950
(978) 851-7321
Mailing address
180 BROOKLINE AVE, APT. 533, BOSTON, MA 02215-3938
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000003041
MA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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