Individual
KRISTEN CLARK VOLLARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PTA
Contact information
Practice address
15 WESTWOOD RD, IVORYTON, CT 06442-1254
(860) 227-3263
Mailing address
15 WESTWOOD RD, IVORYTON, CT 06442-1254
(860) 227-3263
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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