Individual
LAURA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
165 CAMBRIDGE ST, SUITE 402, BOSTON, MA 02114-2783
(617) 726-2779
(617) 726-4277
Mailing address
165 CAMBRIDGE ST, SUITE 402, BOSTON, MA 02114-2783
(617) 726-2779
(617) 726-4277
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4042
MA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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