Individual
MRS. SHANNIELLE ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 HEMINGWAY AVE, EAST HAVEN, CT 06512-3404
(203) 469-4609
Mailing address
600 WASHINGTON AVE, UNIT #A8, NORTH HAVEN, CT 06473-1100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011420
CT
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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