Individual
EILEEN PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 PALMERS HILL RD, STAMFORD, CT 06902-2134
(203) 276-5594
Mailing address
34 HERITAGE LN, WESTON, CT 06883-2205
(203) 895-2159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000535
CT
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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