Individual
MARISSA ELIZABETH WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-7000
Mailing address
9 MELCH RD, LYNNFIELD, MA 01940-2027
(781) 215-4414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86098764
MA
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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