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Walchris David Nicolas, RD, LDN

Dietitian, Registered in Needham, MA. Individual provider (NPI-1).

NPI number1497516124
StatusActive
Last updated in NPPESJan 19, 2024

Details

NPI
1497516124
Entity type
Individual (NPI-1)
Name
Walchris David Nicolas
Credential
RD, LDN
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 19, 2024
Certification date
Jan 19, 2024
Last updated
Jan 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86329258MAYes

Practice location

148 Chestnut St
Needham, MA 02492-2505

Phone 781-453-3000

Mailing address

31 Everett St
Everett, MA 02149-1101

Phone 857-363-0416

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