Individual
MRS. MARY ELLEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
5 EASTIVEW DRIVE, FARMINGTON, CT 06032
(860) 675-4565
Mailing address
17 MORGAN PL, UNIONVILLE, CT 06085-1177
(860) 675-4565
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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