Individual
DEBBIE LYNN MATHIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
773 YORK AVE, PAWTUCKET, RI 02861-2812
(401) 339-7828
Mailing address
773 YORK AVE, PAWTUCKET, RI 02861-2812
(401) 339-7828
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
00333
RI
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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