Individual
MS. LESLIE RATHFON MATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(607) 341-3864
Mailing address
300 LONGWOOD AVE, BOSTON CHILDREN'S HOSPITAL, BOSTON, MA 02115-5724
(607) 341-3864
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3366
MA
Other
Enumeration date
10/22/2012
Last updated
03/05/2014
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