Individual
MS. PHYLLIS C FREEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
148 W RIVER ST, SUITE 2A, PROVIDENCE, RI 02904-2615
(401) 861-2233
Mailing address
148 W RIVER ST, SUITE 2A, PROVIDENCE, RI 02904-2615
(401) 861-2233
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
LDN00117
RI
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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