Search › Connecticut › 133V00000X
Mireille Blacke, MA, RD, CD-N
NPI 1861768889 · on the registry since 2012 · sole proprietor
Practice
- Address
- 6122 Town Rdg
Middletown, CT 06457 - Phone
- (203) 233-6680
- Fax
- (860) 852-3465
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133NN1002X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-23
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