Individual
MRS. SANDRA JEAN MANDANICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CD-N
Contact information
Practice address
2506 EATON CT, DANBURY, CT 06811-4065
(203) 512-1282
(203) 743-6633
Mailing address
2506 EATON CT, DANBURY, CT 06811-4065
(203) 512-1282
(203) 743-6633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000853
CT
133V00000X
Registered Dietitian
006600
NY
Other
Enumeration date
04/18/2010
Last updated
04/18/2010
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