Individual
REBECCA BROTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
39 YALE TER, JAMAICA PLAIN, MA 02130-3728
(585) 314-9329
Mailing address
39 YALE TER, JAMAICA PLAIN, MA 02130-3728
(585) 314-9329
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3082
MA
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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