Individual
MILA PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3280
(203) 503-3254
Mailing address
1 MAPLECREST LN, HAMDEN, CT 06514-1652
(203) 288-8217
(203) 503-3254
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
08/01/2006
Last updated
07/08/2007
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