Individual
JESSICA EDELGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
215 FIRST ST, CAMBRIDGE, MA 02142-1213
(617) 491-8989
Mailing address
29 BOLTON ST, WALTHAM, MA 02453-5906
(781) 609-2393
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3852
MA
Other
Enumeration date
08/07/2015
Last updated
09/17/2015
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