Individual
LAURA IRENE TABAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
211 NILES RD, NEW HARTFORD, CT 06057-4231
(860) 309-4193
Mailing address
211 NILES RD, NEW HARTFORD, CT 06057-4231
(860) 309-4193
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86377944
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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