Bordeaux Nutrition LLC

NPI #1720453814 in Newington, Connecticut

Provider Information

NPI Number: 1720453814
Entity Type: Organization
Organization Name: Bordeaux Nutrition LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Dec 1, 2015
Last Updated: Dec 4, 2015

Practice Location

Address: 66 CEDAR ST
Address 2: 305
City: Newington
State: Connecticut
ZIP Code: 06111-2633
Phone: (860) 523-0141

Authorized Official

Name: MRS. RENEE J BORDEAUX, RD, CDN, CPT
Title: OWNER
Phone: (860) 978-9449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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