Amy Modracek, RD
NPI #1033246574 in Providence, Rhode Island
Provider Information
- NPI Number
- 1033246574
- Entity Type
- Individual
- Name
- Amy Modracek, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 134 THURBERS AVE
- Address 2
- FAMILY SERVICE OF RHODE ISLAND
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02905-4754
- Phone
- (401) 331-1350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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