Individual
MRS. GAYLE ELAINE PHANEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2059
Mailing address
10 SHERRI LN, ACUSHNET, MA 02743-1414
(508) 971-3791
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
514
MA
Other
Enumeration date
07/18/2006
Last updated
06/28/2023
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