Individual
KIMBERLY ANN SA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 PURDUE DR, MILFORD, MA 01757-1240
(508) 816-7119
Mailing address
11 PURDUE DR, MILFORD, MA 01757-1240
(508) 816-7119
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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