Individual
MS. DWAN C HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CNSC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6177
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6177
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2596
MA
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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