Individual
GINA MARIE RANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
366 DORSET ST STE 10, SOUTH BURLINGTON, VT 05403-4479
(802) 999-9207
Mailing address
PO BOX 122, WATERBURY, VT 05676-0122
(508) 364-0461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3368
MA
Other
Enumeration date
11/07/2012
Last updated
03/17/2018
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