Individual
PENELOPE MCDONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 EAST RIDGE RD, RIDGEFIELD, CT 06877
(203) 470-1909
Mailing address
28 LOST MINE PL, RIDGEFIELD, CT 06877-3435
(203) 470-1909
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000436
CT
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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