Evelyn Dedominicis

NPI #1699153692 in Hebron, Connecticut

Provider Information

NPI Number: 1699153692
Entity Type: Individual
Name: Evelyn Dedominicis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Enumeration Date: May 11, 2015
Last Updated: May 11, 2015

Practice Location

Address: 42 SCARBORO RD
City: Hebron
State: Connecticut
ZIP Code: 06248-1338
Phone: (860) 916-0330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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