NPI 1043508112

Susanne D Wakerly, RDLDN

Practitioner Nutrition Education Nutritionist Brockton, MA

Practice location

Address: 680 Centre St, Brockton, MA 02302-3308
Phone: (508) 941-7253
Fax: (508) 941-6337

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence 3059 (MA)

Other Nutritionist providers in Massachusetts →

Registry record

NPI: 1043508112
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2011
Record last updated: 11 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.