Deana S Boucher, RD

NPI #1639335623 in Middlebury, Connecticut

Provider Information

NPI Number: 1639335623
Entity Type: Individual
Name: Deana S Boucher, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Jul 30, 2008
Last Updated: Jul 30, 2008

Practice Location

Address: 590 MIDDLEBURY RD
City: Middlebury
State: Connecticut
ZIP Code: 06762-2562
Phone: (203) 758-1004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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