Individual
AMANDA DORNBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD-N, CNSC
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2304
Mailing address
34 MAPLE ST, NORWALK, CT 06856
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1193
CT
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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