Individual
SOPHIA MARIE ELIZABETH CZARNECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
439 BENEFIT ST, PROVIDENCE, RI 02903-2934
(401) 262-0840
Mailing address
439 BENEFIT ST, PROVIDENCE, RI 02903-2934
(401) 262-0840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN01091
RI
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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