JEAN KOSTAK

FARMINGTON, CT
NPI1427105550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133NN1002X Nutritionist, Nutrition, Education
(Licence: CT  000312)
Enumeration Date2007-01-04
Last Update Date2022-09-26
Business Address
-- JEAN KOSTAK MS, RD
263 FARMINGTON AVE
FARMINGTON, CT 06030-6220
Phone number: 860-679-4477
Mailing Address
-- JEAN KOSTAK MS, RD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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