Individual
CAROLYN M. LOSURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CDE,CD-N
Contact information
Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 266-6420
(203) 266-6636
Mailing address
PO BOX 914, WOODBURY, CT 06798-0914
(203) 266-6420
(203) 266-6636
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000084
CT
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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