Individual
ERICA BURDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 TANYA CT, PLANTSVILLE, CT 06479-1830
(860) 620-4689
Mailing address
45 TANYA CT, PLANTSVILLE, CT 06479-1830
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1324
CT
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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