Leslie Anne Song, RD Valid NPI
Individual provider · Pediatric Nutrition Registered Dietitian · Worcester, MA
- NPI
- 1790961126
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Nutrition Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133VN1004X
- License number
- 2685 (MA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-01-16
- Last updated
- 2008-01-16
Practice location
55 Lake Ave N, Department Of Nutrition And Food Services
Worcester, MA 01655-0002
(508) 334-4572