Individual
MRS. AMANDA MICHELLE CONNORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, CNSC
Contact information
Practice address
505 BRIGHT LEAF LOOP, SUMMERVILLE, SC 29486-8274
(845) 661-8993
Mailing address
505 BRIGHT LEAF LOOP, SUMMERVILLE, SC 29486-8274
(845) 661-8993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86108396
CA
Other
Enumeration date
12/10/2018
Last updated
11/13/2024
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