Individual
SHERYL RAVALESE MAGGIPINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
23 QUAIL HOLLOW DR, WINDSOR, CT 06095-3279
(860) 803-0127
Mailing address
PO BOX, WINDSOR, CT 06095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2574
MA
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310097
—
MA
01
—
2574
STATE LICENSE
MA
Enumeration date
04/23/2007
Last updated
02/25/2021
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