Individual
MRS. AMANDA JOYCE LONGOLUCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
66 FRANKLIN ST, NORWICH, CT 06360-5806
(860) 934-4926
(866) 823-8168
Mailing address
9 RICKY LN, PRESTON, CT 06365-8620
(860) 215-5574
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00935
RI
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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