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Individual

CANDIDO JUNIOR GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 855-3548
(203) 852-2018
Mailing address
5 OVERBROOK RD, NORTH HAVEN, CT 06473-3201
(203) 506-5670

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86070271

Other

Enumeration date
07/19/2018
Last updated
07/19/2018
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