Individual
CAROLYN CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
637 WASHINGTON ST, DORCHESTER CENTER, MA 02124-3510
(617) 825-9660
Mailing address
76 ELM ST, G08, JAMAICA PLAIN, MA 02130-2892
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
967783
MA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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