Individual
JESSICA HART BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 BOWDOIN ST, DORCHESTER, MA 02122-1817
(617) 754-0100
(617) 754-0230
Mailing address
230 BOWDOIN ST, DORCHESTER, MA 02122-1817
(617) 754-0100
(617) 754-0230
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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