Individual
MISS ELIZABETH MICHELLE ODVARKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
185 PILGRIM RD DEPT OF, BOSTON, MA 02215-5324
(857) 544-4508
Mailing address
20 LAKE ST, MALDEN, MA 02148-1950
(857) 544-4508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4604
MA
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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