Individual
MRS. HEATHER LEE PERACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., CD-N
Contact information
Practice address
558 MAPLE AVE, CHESHIRE, CT 06410-2100
(203) 980-5616
(203) 271-3670
Mailing address
558 MAPLE AVE, CHESHIRE, CT 06410-2100
(203) 980-5616
(203) 271-3670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000958
CT
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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