MICHELLE R IRVIN

SIMSBURY, CT
NPI1366626897
Former NameMICHELLE R LUNDBERG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IA  001790)
Enumeration Date2007-12-19
Last Update Date2021-03-31
Business Address
MICHELLE R IRVIN RD CDE
7 HIGATE LN
SIMSBURY, CT 06070-1005
Phone number: 402-612-4097
Mailing Address
MICHELLE R IRVIN RD CDE
7 HIGATE LN
SIMSBURY, CT 06070-1005
Phone number: 402-612-4097