Organization
THE OPEN DOOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LAFONTAINE (EXECUTIVE DIRECTOR)
(978) 283-6776
Entity
Organization
Contact information
Practice address
28 EMERSON AVE, GLOUCESTER, MA 01930-2583
(978) 283-6776
Mailing address
28 EMERSON AVE, GLOUCESTER, MA 01930-2583
(978) 283-6776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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