Individual
TIA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
501 GOODWIN ST, EAST HARTFORD, CT 06108-1208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2256
CT
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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