Doctor Name: | PAULA DIAQUE BALLESTEROS |
NPI Number: | 1073876744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 3318 |
Business Practice Address: | One Joslin Place 204 Latino Boston, MA - 022155306 |
Business Phone Number: | 6173092400 |
Business Fax Number: | 6173092457 |
Mailing Address: | One Joslin Place, 204 Latino BOSTON |
State: | MA |
Postal Code: | 022155306 |
Phone Number: | 6173092400 |
Fax Number: | 6173092457 |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 3318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |