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EVELYN DEDOMINICIS

>> Nutritionist >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1699153692

Individual Registrant:
 EVELYN  DEDOMINICIS 
Gender: F
Sole Proprietor

Location and contact information for practice:
42 SCARBORO RD  HEBRON, CT 06248-1338 US
Tel: 860-916-0330  Fax: --

Contact information for business:
42 SCARBORO RD  HEBRON, CT 06248-1338 US
Tel: 860-916-0330  Fax: --

Registration Information:
NPI: 1699153692
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133N00000XDietary & Nutritional Service Providers
Nutritionist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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