Individual
KATHRINA PRELACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 BLOSSOM ST, BOSTON, MA 02114-2601
(617) 371-4756
Mailing address
51 BLOSSOM ST, BOSTON, MA 02114-2601
(617) 371-4756
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1891
MA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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