Individual
DONNA MYCHASKIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PD,MS
Contact information
Practice address
11 ABBOTT FARM RD, MIDDLEBURY, CT 06762-1213
(203) 758-9280
(203) 758-9280
Mailing address
11 ABBOTT FARM RD, P.O. BOX 1213, MIDDLEBURY, CT 06762-1213
(203) 758-9280
(203) 758-9280
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
6394
CT
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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