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Andrea Paul, R.D.N., L.D.

Dietitian, Registered in Portland, ME. Individual provider (NPI-1).

NPI number1629636725
StatusActive
Last updated in NPPESJun 3, 2019

Details

NPI
1629636725
Entity type
Individual (NPI-1)
Name
Andrea Paul
Credential
R.D.N., L.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 3, 2019
Last updated
Jun 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredDI1163MEYes

Practice location

33 Tucker Ave
Portland, ME 04103-1422

Phone 207-468-3074

Mailing address

33 Tucker Ave
Portland, ME 04103-1422

Phone 207-468-3074

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