Individual
FABIANA SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 E MAIN ST, BRIDGEPORT, CT 06608-1914
(203) 371-7111
Mailing address
975 E MAIN ST, BRIDGEPORT, CT 06608-1914
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002048
CT
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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