Individual
MACKENZIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1073 N BENSON RD, FAIRFIELD, CT 06824-5171
(617) 721-1544
Mailing address
28 SADDLE RD, NORWALK, CT 06851-3230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1506
CT
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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