Individual
LISA TARTAMELLA KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD-N
Contact information
Practice address
20 YORK ST, NUTRITION CLINIC- CBB52, NEW HAVEN, CT 06510-3220
(203) 688-2264
(203) 688-2141
Mailing address
101 CENTENNIAL DR, MILFORD, CT 06461-1678
(203) 878-6493
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000101
CT
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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