Individual
MRS. MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
122 SEAN CIR, COVENTRY, CT 06238-1664
(203) 848-7025
Mailing address
122 SEAN CIR, COVENTRY, CT 06238-1664
(203) 848-7025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86100154
CT
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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