Individual
AIJA LEIMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD,CDN
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4550
MA
Other
Enumeration date
01/21/2010
Last updated
10/17/2019
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