Individual
MS. ELLEN CAROL RONSIVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
70 HIGH STREET, SOUTH WINDSOR, CT 06074
(860) 966-8507
Mailing address
70 HIGH ST, SOUTH WINDSOR, CT 06074-1344
(860) 966-8507
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
671730
NJ
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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