Individual
EIMY ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811520810
—
CT
Enumeration date
05/06/2019
Last updated
03/30/2020
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