Individual
COREYANN K POLY GERACIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RDN, LD, CDE
Contact information
Practice address
60 QUAKER HWY, UXBRIDGE, MA 01569-1628
(508) 278-7810
Mailing address
130 ELMSHADE DR, UXBRIDGE, MA 01569-2601
(508) 278-9713
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
32
MA
Other
Enumeration date
05/15/2007
Last updated
01/05/2024
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