Provider Demographics
NPI:1003640962
Name:GUINIPERO, JULEE (RDN, LDN, CPT)
Entity type:Individual
Prefix:
First Name:JULEE
Middle Name:
Last Name:GUINIPERO
Suffix:
Gender:F
Credentials:RDN, LDN, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 WATERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-1507
Mailing Address - Country:US
Mailing Address - Phone:203-586-9464
Mailing Address - Fax:
Practice Address - Street 1:450 WATERTOWN RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-1507
Practice Address - Country:US
Practice Address - Phone:203-586-9464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002407133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered