Individual
ELENA VINOKUROVA- SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
24 MYRTLE ST, FRAMINGHAM, MA 01702-6359
(617) 223-1941
Mailing address
71B CENTER ST, BURLINGTON, MA 01803-3060
(781) 270-5134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1692
MA
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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