Individual
JULIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
290 WESTERN BLVD, GLASTONBURY, CT 06033-1236
(860) 242-8330
Mailing address
290 WESTERN BLVD, GLASTONBURY, CT 06033-1236
(860) 242-8330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001368
CT
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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