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Dr. Shannon Funkhouser, ND

Naturopath in Glastonbury, CT. Individual provider (NPI-1).

NPI number1043781487
StatusActive
Last updated in NPPESDec 11, 2018

Details

NPI
1043781487
Entity type
Individual (NPI-1)
Name
Dr. Shannon Funkhouser
Credential
ND
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 11, 2018
Last updated
Dec 11, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175F00000X Naturopath637CTYes

Practice location

100 Brookhaven Dr
Glastonbury, CT 06033-1806

Phone 617-571-2370

Mailing address

100 Brookhaven Dr
Glastonbury, CT 06033-1806

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