JENNIFER N BACK

GROTON, CT
NPI1770719973
Former NameJENNIFER NEILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CT  000670)
Enumeration Date2009-06-03
Last Update Date2019-12-30
Business Address
JENNIFER N BACK RD, CDE
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 860-694-5212
Mailing Address
JENNIFER N BACK RD, CDE
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 860-694-5212
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