Individual
DIANA CULLUM-DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
188 ORCHARD ST, WATERTOWN, MA 02472-1822
(617) 678-0607
(617) 393-4455
Mailing address
188 ORCHARD ST, WATERTOWN, MA 02472-1822
(617) 678-0607
(617) 393-4455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1630
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630
MA LICENSE
MA
Enumeration date
09/21/2006
Last updated
12/14/2009
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