Stephanie Lynn Colacicco, NUTRITIONIST

NPI #1821683822 in Colchester, Connecticut

Provider Information

NPI Number: 1821683822
Entity Type: Individual
Name: Stephanie Lynn Colacicco, NUTRITIONIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: NUTRITIONIST
Enumeration Date: Mar 2, 2021
Last Updated: Mar 2, 2021

Practice Location

Address: 51 HAYWARD AVE APT 3A
City: Colchester
State: Connecticut
ZIP Code: 06415-1288
Phone: (860) 808-7708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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