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NANCY BROWN MSRD

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

Registrant NPI Number: 1104247303

Individual Registrant:
 NANCY  BROWN MSRD
Gender: F
Sole Proprietor

Location and contact information for practice:
10 HERITAGE FARM RD  EAST GRANBY, CT 06026-9677 US
Tel: 860-651-8896  Fax: --

Contact information for business:
10 HERITAGE FARM RD  EAST GRANBY, CT 06026-9677 US
Tel: 860-651-8896  Fax: --

Registration Information:
NPI: 1104247303
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CT000574

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM270000574CT01CT01




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