Individual
MS. JILLIAN BROOKE TORTORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
233 DAYL DR, BERLIN, CT 06037-1264
(517) 402-7815
Mailing address
233 DAYL DR, BERLIN, CT 06037-1264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001301
LICENSE
CT
Enumeration date
09/08/2010
Last updated
09/21/2021
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