Individual
BETH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSO, CNSC
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(412) 601-4364
Mailing address
28 OLIVER ST, NORTH EASTON, MA 02356-1432
(412) 601-4364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN5157
MA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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