Individual
RANDI Y OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
800 BOSTON POST RD FL 1, GUILFORD, CT 06437-2747
(203) 777-0304
Mailing address
180 THIMBLE ISLAND RD, BRANFORD, CT 06405-5727
(203) 376-3957
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
636583
RDN REGISTRATION NUMBER
—
Enumeration date
03/14/2018
Last updated
03/14/2018
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