Individual
MRS. KARA GANSSLE PACHNIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNS, CN
Contact information
Practice address
15 MEADOWOOD LN, OLD SAYBROOK, CT 06475-1806
(203) 913-6243
Mailing address
15 MEADOWOOD LN, OLD SAYBROOK, CT 06475-1806
(203) 913-6243
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001741
CT
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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