Individual
VICTORIA ROSE LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 MIX AVE APT 4C, HAMDEN, CT 06514-2341
(765) 686-2796
Mailing address
100 N CENTRAL EXPY STE 409, RICHARDSON, TX 75080-5311
(214) 838-8237
(855) 566-0474
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002008
CT
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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