Individual
MISS ANICK PAULINE DESORCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-4155
(802) 334-3585
Mailing address
10 PLEASANT STREET, STANSTEAD, QUEBEC J0B3E-2
(819) 876-2596
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0740000150
VT
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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