NPI 1336694066

Bertille Octavie Mavegam Tango Assoumou M

Practitioner Nutrition Education Nutritionist Northampton, MA

Practice location

Address: 22 Atwood Dr Fl 1, Northampton, MA 01060-4267
Phone: (413) 586-1601
Fax: (413) 923-9304

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Other Nutritionist providers in Massachusetts →

Registry record

NPI: 1336694066
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2016
Record last updated: 23 Aug 2016

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.