Jd Nutrition LLC

NPI #1053819110 in Colchester, Connecticut

Provider Information

NPI Number: 1053819110
Entity Type: Organization
Organization Name: Jd Nutrition LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Jan 24, 2018
Last Updated: Jan 24, 2018

Practice Location

Address: 214 LAKE HAYWARD RD
City: Colchester
State: Connecticut
ZIP Code: 06415-1815
Phone: (860) 705-4669

Authorized Official

Name: JACQUELINE DURAND, RD, CDN
Title: OWNER
Phone: (860) 705-4669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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