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KATHRYN BALONE RD, CDN

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

Registrant NPI Number: 1659985307

Individual Registrant:
 KATHRYN  BALONE RD, CDN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23 HENRY ST APT C  GREENWICH, CT 06830-5809 US
Tel: 716-208-4306  Fax: --

Contact information for business:
23 HENRY ST APT C  GREENWICH, CT 06830-5809 US
Tel: 716-208-4306  Fax: --

Registration Information:
NPI: 1659985307
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
NY007185
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
1036587

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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