Individual
LISA SHETTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN CDN
Contact information
Practice address
65 KELSEY LN, GLASTONBURY, CT 06033-5040
(860) 916-2486
Mailing address
65 KELSEY LN, GLASTONBURY, CT 06033-5040
(860) 916-2486
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001685
CT
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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