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Individual

PONITA KHOUY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
480 MAPLE AVE, BRISTOL, CT 06010-2696
(860) 329-1444
Mailing address
480 MAPLE AVE, BRISTOL, CT 06010-2696
(860) 329-1444

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1774
CT

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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