Individual
ELIZABETH IANNIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-4871
Mailing address
831 GARDEN RD, ORANGE, CT 06477-1513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
654795
—
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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