person
Jean Kostak, MS,RD
Nutrition Education Nutritionist in Farmington, Connecticut
NPI 1427105550

Jean Kostak is a Nutrition Education Nutritionist based in Farmington, CT and is specialized in Nutrition, Education. Jean Kostak practices in Farmington, CT and has the professional credentials of MS,RD. The NPI Number for Jean Kostak is 1427105550 and holds a License No. 000312 (Connecticut).

The current practice location address for Jean Kostak is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-4477 and via fax at 860-679-4474.

Location: 263 Farmington Ave, Farmington, CT, 06030-2212
person
Provider Profile Details
NPI Number
1427105550
Provider Name
Jean Kostak
Credential
MS,RD
Provider Entity Type
Individual
Gender
Female
Address
263 Farmington Ave, Farmington, CT, 06030-2212
Phone Number
860-679-4477
Fax Number
860-679-4474
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000312 01 CT CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
State
Zip
06030-6220
Phone Number
860-679-4477
Fax Number
860-679-4474
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
State
Zip
06030-6220
Phone Number
860-679-4477
Fax Number
860-679-4474
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
License No.
000312 (Connecticut)
Definition
Definition to come...
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