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Individual

SHANNON VUKOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
(617) 983-7138
Mailing address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
(617) 983-7138

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
166
MA

Other

Enumeration date
05/27/2008
Last updated
02/09/2015
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