Individual
MRS. MIKELANNE CHRISTINE PHANEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
111 OSBORNE ST, MEDICAL ARTS CENTER, 2ND FLOOR, DANBURY, CT 06810-6000
(203) 739-7131
Mailing address
111 OSBORNE ST, MEDICAL ARTS CENTER, 2ND FLOOR, DANBURY, CT 06810-6000
(203) 739-7131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000693
CT
133V00000X
Registered Dietitian
Primary
814055
CT
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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