Individual
SUSAN DACUNHA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02112
(617) 282-3200
(617) 282-7928
Mailing address
4 BARTLETT RD, RANDOLPH, MA 02368
(781) 961-2023
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2070
MA
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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