Individual
MALAYA MOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
125 W MAIN ST, PLAINVILLE, CT 06062-1988
(360) 888-9293
Mailing address
192 STODDARD AVE, NEWINGTON, CT 06111-1914
(360) 888-9293
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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