Organization
NOURISH BY GINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA BARBETTA RD (DIETICIAN)
(203) 206-3873
Entity
Organization
Contact information
Practice address
352 MAIN ST, DURHAM, CT 06422-1645
(203) 206-3873
Mailing address
55 W DAYTON HILL RD, WALLINGFORD, CT 06492-5309
(203) 206-3873
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
01/08/2020
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