Individual
MRS. JESSICA ANN FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
152 SUMMIT ST APT 2, HYDE PARK, MA 02136-3945
(617) 827-5319
Mailing address
152 SUMMIT ST APT 2, HYDE PARK, MA 02136-3945
(617) 827-5319
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4912
MA
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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