Individual
JOI AUGUSTIN GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
158 HALE ST, BEVERLY, MA 01915-3845
(617) 291-4132
(978) 921-4840
Mailing address
158 HALE ST, BEVERLY, MA 01915-3845
(617) 291-4132
(978) 921-4840
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
NU463
MA
133V00000X
Registered Dietitian
Primary
NU463
MA
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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