Individual
KAILEY GRACE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
130 UNIVERSITY AVE UNIT 1302, WESTWOOD, MA 02090-2192
(978) 500-0483
Mailing address
130 UNIVERSITY AVE UNIT 1302, WESTWOOD, MA 02090-2192
(978) 500-0483
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4341
MA
Other
Enumeration date
12/13/2017
Last updated
07/09/2020
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