Most Relevant Information
Provider Data
NPI Number: | 1003557760 |
Provider Name: | ASHLEY JERMAINE WIGHT RD |
Entity Type: | Individual |
Taxonomy Code: | 133V00000X |
Specialty: | Dietitian, Registered |
License Number: | 5548 |
Most Important Dates
Enumeration Date: | 04/06/2022 |
Last Updated: | 04/06/2022 |
Provider Practice Location
55 LAKE AVE N
WORCESTER
MA
016550002
Practice Location Phone/Fax
Phone: | 7744433411 |
Fax: |
Provider Mailing Location
30 HERITAGE PATH
MILLIS
MA
020541750
Provider Mailing Phone/Fax
Phone: | 7814419165 |
Fax: |