Kelly Lynn Tetrault-stellato R.D.

NPI 1770747255 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1770747255
Gender Female
Enumeration Date 07/15/2008
Last Updated 11/01/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
64 ALDRICH ST
GRANBY MA, 01033-9718, US
Phone (413) 530-5819
Fax
Business Location
64 ALDRICH ST
GRANBY MA, 01033-9718, US
Phone (413) 530-5819
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Massachusetts
License Number 2451
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According to our database, Kelly Lynn Tetrault-stellato R.D. NPI is 1770747255, taxonomy code is 133V00000X and license number is 2451, license state is located at Massachusetts. Kelly Lynn Tetrault-stellato R.D. physically located at 64 Aldrich St, Granby MA, 01033-9718. NPI Number Kelly Lynn Tetrault-stellato R.D. has the Individual type.

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1770747255 NPI number is provided on an as is basis without warranty of any kind. 1770747255 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Lynn Tetrault-stellato R.D. are for informational purposes only.