Individual
STEPHANIE BRAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
480 NAUBUC AVE, GLASTONBURY, CT 06033-1016
(860) 494-2400
Mailing address
125 LASALLE RD, WEST HARTFORD, CT 06107-2322
(860) 906-1289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86291527
CT
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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