NPI 1245419878

Stacy J Pelletier, RD

Practitioner Registered Dietetic Technician Randolph, VT

Practice location

Address: 44 S Main St, Randolph, VT 05060-1381
Phone: (802) 728-2260
Fax: (802) 728-2613

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 074-0000213 (VT)

Other Dietetic Technician, Registered providers in Vermont →

Registry record

NPI: 1245419878
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2007
Record last updated: 31 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.