Individual
SUZANNE P DUDEK
Active
Individual
SUZANNE P DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002365
CERTIFIED DIETICIAN NUTRITIONIST
CT
Enumeration date
08/15/2022
Last updated
06/01/2023
Update your record
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