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Individual

NICOLE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-3131
Mailing address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4798
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4798
COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
01
86111354
COMMISSION ON DIETETIC REGISTRATION
01
LDN01016
STATE OF RHODE ISLAND
RI
Enumeration date
02/11/2020
Last updated
02/11/2020
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