Individual
MEGHAN MARI STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, CD-N
Contact information
Practice address
15 GOSHEN RD, WATERFORD, CT 06385-3704
(860) 235-4953
Mailing address
15 GOSHEN RD, WATERFORD, CT 06385-3704
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2677
CT
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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