Cornerstone Nutrition, LLC
NPI #1679984488 in Manchester, Connecticut
Provider Information
- NPI Number
- 1679984488
- Entity Type
- Organization
- Organization Name
- Cornerstone Nutrition, LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- May 14, 2014
- Last Updated
- Sep 2, 2014
Practice Location
- Address
- 595 MAIN ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-5160
- Phone
- (860) 559-5178
Authorized Official
- Name
- BRENDAN COBURN, RD
- Title
- OWNER, REGISTERED DIETITIAN
- Phone
- (860) 559-5178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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