Individual
MRS. JESSICA CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-2697
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-2697
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000855
CT
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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