Individual provider · Type 1 NPI
Bertille Octavie Mavegam Tango Assoumou M
Nutrition Education Nutritionist · Northampton, MA
NPI number
1336694066
Active
Practice location
22 Atwood Dr Fl 1
Northampton, MA 01060-4267
Fax (413) 923-9304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
About NPI 1336694066
Bertille Octavie Mavegam Tango Assoumou M's National Provider Identifier is 1336694066, issued on Aug 23, 2016. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Northampton, MA. The record was last updated on Aug 23, 2016.