Individual
RYAN PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, CDN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 500-8518
Mailing address
20 YORK STREET, EPB 806, NEW HAVEN, CT 06510
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86086580
CT
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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