Provider Demographics
NPI:1851128060
Name:SU, YEEMAY (RD)
Entity type:Individual
Prefix:
First Name:YEEMAY
Middle Name:
Last Name:SU
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:YEEMAY
Other - Middle Name:SU
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:59 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-2423
Mailing Address - Country:US
Mailing Address - Phone:617-688-4444
Mailing Address - Fax:
Practice Address - Street 1:59 RUSSELL RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2423
Practice Address - Country:US
Practice Address - Phone:617-688-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered