Individual
JANE WYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
680 E MAIN ST STE A883, STAMFORD, CT 06901-2113
(203) 978-3558
Mailing address
680 E MAIN ST STE A883, STAMFORD, CT 06901-2113
(203) 978-3558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86106302
—
Other
Enumeration date
01/06/2021
Last updated
01/16/2024
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