Individual provider · NPI-1
Prasanna Navarasam
Dietitian, Registered · Hopkinton, MA
NPI number1225896905
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1225896905
- Entity type
- Individual (NPI-1)
- Name
- Prasanna Navarasam
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2024
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2428 | MA | Yes |
Practice location
38 Huckleberry RdHopkinton, MA 01748-1055
Phone 508-250-5286
Mailing address
38 Huckleberry RdHopkinton, MA 01748-1055
Phone 508-250-5286
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