Individual
EVELYN DEDOMINICIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 SCARBORO RD, HEBRON, CT 06248-1338
(860) 916-0330
Mailing address
42 SCARBORO RD, HEBRON, CT 06248-1338
(860) 916-0330
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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