Individual
MS. CHANTELLE MARIE SHIMONO-LEGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
330 CEDAR ST TMP3, NEW HAVEN, CT 06510-3218
(203) 785-2802
Mailing address
330 CEDAR ST, P.O. BOX 208051, NEW HAVEN, CT 06510-3218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4256
CT
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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