Individual
ANNALIESE DIFABBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
544 RIVERSIDE AVE, WESTPORT, CT 06880-5731
(203) 429-4211
Mailing address
94 KIMBERLY DR, GUILFORD, CT 06437-1313
(203) 640-7299
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001813
CT
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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