Individual
HEATHER S FAGNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MPH, RD, LDN
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 562-7775
Mailing address
531 WASHINGTON ST APT 3, BROOKLINE, MA 02446-4567
(401) 447-2786
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3418
MA
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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