Individual
AMY SHEPARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
139 HAZARD AVE BLDG 4, ENFIELD, CT 06082-4585
(860) 763-0208
(860) 763-0224
Mailing address
139 HAZARD AVE BLDG 4, ENFIELD, CT 06082-4585
(860) 763-0208
(860) 763-0224
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001390
CT
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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