Individual
TENLEY SIMMONS MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS LDN
Contact information
Practice address
21 PARKER ST, NORWELL, MA 02061-1426
(781) 659-1234
Mailing address
21 PARKER ST, NORWELL, MA 02061-1426
(781) 659-1234
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LDN3796
MA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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