Individual
MRS. JESSICA AGNES ULINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., LDN
Contact information
Practice address
55 LAKE AVE N, NUTRITION DEPARTMENT, WORCESTER, MA 01655-0002
(508) 856-3280
Mailing address
69 MINEBROOK RD, WEBSTER, MA 01570-6808
(508) 949-3010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2414
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2414
LICENSENED DIETITIAN
MA
Enumeration date
12/20/2006
Last updated
07/08/2007
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