Individual
CONNIE A GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 861-6200
Mailing address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 861-6200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-5705
OH
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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