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Individual

ANDREA ROCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
1266 FURNACE BROOK PKWY, QUINCY, MA 02169-4758
(617) 953-4243
Mailing address
3 HUNTER DR, NEWBURYPORT, MA 01950-3716
(617) 953-4243

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
3632
MA
133V00000X
Registered Dietitian
86013220
MA
174N00000X
Lactation Consultant (Non-RN)
Primary
L-152632
MA

Other

Enumeration date
06/30/2014
Last updated
11/14/2022
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