Individual
RACHAEL MITCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
643 BROADWAY, SOMERVILLE, MA 02145-2528
(617) 616-3600
(617) 616-3699
Mailing address
22 PEARL ST APT 1, SOMERVILLE, MA 02145-3413
(803) 446-5186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1629
SC
133V00000X
Registered Dietitian
Primary
7320
MA
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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