Individual
MICHELLE MASI DIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 NEWTOWN TPKE, WESTPORT, CT 06880-1017
(203) 800-1525
Mailing address
155 NEWTOWN TPKE, WESTPORT, CT 06880-1017
(203) 800-1525
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
59.002183
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59.002183
CT NUTRITION LICENSE
CT
Enumeration date
04/21/2022
Last updated
04/21/2022
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