Individual
JONATHAN DANIEL REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
223 SCHOOL ST, WESTWOOD, MA 02090-1707
(781) 461-1157
Mailing address
223 SCHOOL ST, WESTWOOD, MA 02090-1707
(781) 461-1157
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
86117948
MA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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