Individual
DEBORAH VENTRICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5208
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R602690
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000348
CERTIFICATION
CT
Enumeration date
01/02/2007
Last updated
07/08/2007
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