Individual
MRS. MAIKA LUONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
75 STATE ST, 26TH FLOOR, BOSTON, MA 02109-1827
(617) 204-3500
Mailing address
75 STATE ST, 26TH FLOOR, BOSTON, MA 02109-1827
(617) 204-3500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2826
MA
Other
Enumeration date
04/30/2013
Last updated
05/14/2015
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