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Individual

MISS TARA M NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN, CNSC

Contact information

Practice address
68 TUPPER ROAD SUITE 6, SANDWICH, MA 02563
(508) 813-9282
Mailing address
18 MOSSLAND STREET, SOMERVILLE, MA 02144
(978) 273-0223

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2895
MA

Other

Enumeration date
09/07/2012
Last updated
09/07/2012
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