Individual
KATIE D. DEFOE-RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14 S WESTFIELD ST, FEEDING HILLS, MA 01030-2702
(413) 786-2957
(413) 786-2977
Mailing address
95 POST OFFICE PARK, WILBRAHAM, MA 01095-1248
(413) 509-1000
(413) 509-1003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2704
MA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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