Individual
MS. COURTNEY ROSE DRISCOLL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
26 WAMPUM DRIVE, BREWSTER, MA 02631
(508) 896-9080
(508) 896-3399
Mailing address
18 TERN ROAD, SOUTH YARMOUTH, MA 05664
(508) 364-3549
(508) 457-3977
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2422
STATE LICENSE #
MA
Enumeration date
06/14/2006
Last updated
07/08/2007
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