Individual
MRS. ANN CHAMBERLIN BOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1346
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1346
STATE LICENSE NUMBER
ME
Enumeration date
06/19/2019
Last updated
06/19/2019
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