| NPI | 1548414667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA NICOLE FOWLER Registered Dietitian, Oncology 860-679-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 957919) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |