Individual
MS. PAULA DACOSTA CERQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
32 FRUIT ST, YAWKEY 10B, BOSTON, MA 02114-2620
(617) 724-4000
Mailing address
32 FRUIT ST, BOSTON, MA 02114-2620
(617) 724-4000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3421
MA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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