Individual
MICHELLE SEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 971-3517
Mailing address
125 CHISWICK RD APT 310, BOSTON, MA 02135-5311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN7092
MA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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