Individual
MRS. MARY VINDICE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNC
Contact information
Practice address
78 SPRING ST, MEDFORD, MA 02155-4855
(781) 295-7640
Mailing address
78 SPRING ST, MEDFORD, MA 02155-4855
(781) 395-7640
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
043313020
MA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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