Individual
MS. THERESA MARIE MANEGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
(508) 941-6337
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
(508) 941-6337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2529
MA
Other
Enumeration date
05/29/2007
Last updated
02/18/2015
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