SearchConnecticut225200000X

Shirley Fontaine

NPI 1093186900 · on the registry since 2015 · sole proprietor

Practice

Address
441 Milford St
Burlington, CT 06013
Phone
(860) 997-4019

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut