Organization
FITNUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE S JEFFREY MS, RD, CSSD, LDN (OWNER, LICENSED DIETITIAN)
(860) 917-6131
Entity
Organization
Contact information
Practice address
564 NEW LONDON TPKE, STONINGTON, CT 06378-1614
(860) 917-6131
Mailing address
564 NEW LONDON TPKE, STONINGTON, CT 06378-1614
(860) 917-6131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000821
CT
133V00000X
Registered Dietitian
Primary
LDN00616
RI
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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