Most Relevant Information
Provider Data
| NPI Number: | 1003550815 |
| Provider Name: | JESSICA LAUREN RICHARDSON RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2022 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
41 BREWSTER RD
BRISTOL
CT
060105141
Practice Location Phone/Fax
| Phone: | 8605853911 |
| Fax: |
Provider Mailing Location
41 BREWSTER RD
BRISTOL
CT
060105141
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |