Individual
AUDREY KIRSTEN CHAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-4962
Mailing address
19 KENT ST, PLAINVILLE, CT 06062-2314
(860) 517-9292
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
896428
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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