Individual
MRS. MICHELLE MENOVICH BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
203 SUMMER ST, SOMERVILLE, MA 02143-2412
(781) 696-9553
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000003289
MA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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