NPI 1427105550

Jean Kostak, MSRD

Practitioner Nutrition Education Nutritionist Farmington, CT

Practice location

Address: 263 Farmington Ave, Farmington, CT 06030-6220
Phone: (860) 679-4477
Fax: (860) 679-4474
Mailing address: 263 Farmington Ave Provider Enrollment, Farmington, CT 06030-2212

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence 000312 (CT)

Other Nutritionist providers in Connecticut →

Registry record

NPI: 1427105550
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2007
Record last updated: 26 Sep 2022

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.