Organization
DEVON HAINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON HAINES (OWNER/DIETITIAN)
(508) 409-8456
Entity
Organization
Contact information
Practice address
23 MAIN ST FL 2, WATERTOWN, MA 02472-4403
(508) 409-8456
Mailing address
23 CANOE RIVER DR, MANSFIELD, MA 02048-2928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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