Individual
CHRISTOPHER STEPHEN THEBERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
435 WARREN ST, ROXBURY, MA 02119-1833
(617) 442-7400
Mailing address
435 WARREN ST, ROXBURY, MA 02119-1833
(617) 442-7400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2626
MA
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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