Individual
LESLIE NOEL CORDELLA-SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED,RD,LDN,CDE
Contact information
Practice address
54 CENTRAL AVE, APT 3, MILTON, MA 02186-2916
(508) 737-7084
(866) 851-7082
Mailing address
54 CENTRAL AVENUE,, APT 3, MILTON, MA 02186-2916
(508) 737-7084
(866) 851-7082
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
LDN800
MA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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