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Individual

PUNITHAVATHY GOPALAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,RD,LD,CDCES

Contact information

Practice address
10 OWLS HEAD DR, NASHUA, NH 03063-1561
(603) 921-2011
Mailing address
10 OWLS HEAD DR, NASHUA, NH 03063-1561
(603) 921-2011

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1011335
IL
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
32200565
IL

Other

Enumeration date
12/01/2022
Last updated
12/01/2022
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