Individual
NANCY C GANDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-3529
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-3529
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
000235
CT
133V00000X
Registered Dietitian
Primary
000235
CT
Other
Enumeration date
05/03/2010
Last updated
05/04/2010
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