Most Relevant Information
Provider Data
| NPI Number: | 1003670514 |
| Provider Name: | MALLORY MULLEN HOOKER RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | LDN6779 |
Most Important Dates
| Enumeration Date: | 02/06/2024 |
| Last Updated: | 02/06/2024 |
Provider Practice Location
25 ELEANOR ST UNIT 19
CHELSEA
MA
021504487
Practice Location Phone/Fax
| Phone: | 8024177496 |
| Fax: |
Provider Mailing Location
25 ELEANOR ST UNIT 19
CHELSEA
MA
021504487
Provider Mailing Phone/Fax
| Phone: | 8024177496 |
| Fax: |