Individual
AMANDA LAUREN MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 VETERANS MEMORIAL PKWY STE 8C, EAST PROVIDENCE, RI 02914-5300
(401) 396-9331
Mailing address
13 JILLIAN WAY, WESTPORT, MA 02790-4231
(774) 319-1074
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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