Individual
MRS. INESSA MAKDULINA-NYZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
1234 SUMMER ST STE 400, STAMFORD, CT 06905-5510
(203) 977-2446
Mailing address
1234 SUMMER ST STE 400, STAMFORD, CT 06905-5510
(203) 977-2446
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001272
CT
133V00000X
Registered Dietitian
006478
NY
Other
Enumeration date
03/12/2010
Last updated
04/05/2018
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