Individual
BRIGITTA JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNS, CDN
Contact information
Practice address
363 MAIN ST STE 513, MIDDLETOWN, CT 06457-3359
(917) 975-1784
Mailing address
29 ELM ST, DEEP RIVER, CT 06417-1740
(917) 975-1784
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001594
CT
Other
Enumeration date
07/09/2018
Last updated
12/02/2024
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