Individual
ALLEGRA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
675 MAIN STREET, MIDDLETOWN, CT 06457-2632
(860) 347-6971
Mailing address
675 MAIN STREET, MIDDLETOWN, CT 06457-2632
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1943
CT
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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