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BRENDA LEE VIENS

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1548934821

Individual Registrant:
 BRENDA LEE VIENS 
Gender: F
Sole Proprietor

Location and contact information for practice:
79 BRENN RD  BROOKLYN, CT 06234-2013 US
Tel: 860-319-9619  Fax: --

Contact information for business:
79 BRENN RD  BROOKLYN, CT 06234-2013 US
Tel: 860-319-9619  Fax: --

Registration Information:
NPI: 1548934821
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CT1095957

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CT - Page 1



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