Individual
MRS. VELA A NICASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2867
MA
133V00000X
Registered Dietitian
852121
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028120
—
MA
01
—
2867
LICENSE
MA
01
—
852121
COMMISSION ON DIETETIC REGISTRATION
CT
Enumeration date
09/15/2009
Last updated
05/12/2016
Update your record
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