Organization
NUTRITION MADE SIMPLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL LEIGH (RDN)
(203) 770-0475
Entity
Organization
Contact information
Practice address
53 RIVER ST, MILFORD, CT 06460-3346
(203) 770-0475
Mailing address
53 RIVER ST, MILFORD, CT 06460-3346
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1451
RDN LICENSE
CT
Enumeration date
12/09/2022
Last updated
03/28/2024
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