Mara Rose Sansevero, REGISTERED DIETITIAN

NPI #1295951143 in Jamaica Plain, Massachusetts

Provider Information

NPI Number
1295951143
Entity Type
Individual
Name
Mara Rose Sansevero, REGISTERED DIETITIAN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
REGISTERED DIETITIAN
Enumeration Date
Apr 18, 2007
Last Updated
Aug 4, 2011

Practice Location

Address
301 S HUNTINGTON AVE
Address 2
BRIGHAM & WOMEN'S ADVANCED PRIMARY CARE ASSOCIATES, SH
ZIP Code
02130-4807
Phone
(857) 307-3364

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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