Jessica Jean Long, RD Valid NPI

Individual provider · Pediatric Nutrition Registered Dietitian · Worcester, MA

NPI

1437760923

Type

Individual (Type 1)

Primary specialty

Pediatric Nutrition Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133VN1004X

License number

5190 (MA)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-08-10

Last updated

2021-03-29