Doctor Name: | MS. CECILE MARIE MCMANUS |
NPI Number: | 1962659474 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 2036-029 (CD) |
Business Practice Address: | 10920 Smokey Mountain Trl Blue Mounds, WI - 535179668 |
Business Phone Number: | 6084376278 |
Business Fax Number: | 6084376279 |
Mailing Address: | 10920 Smokey Mountain Trl, BLUE MOUNDS |
State: | WI |
Postal Code: | 535179668 |
Phone Number: | 6084376278 |
Fax Number: | 6084376279 |
NPI Enumeration Date: | 08/26/2008 |
NPI Last Update Date: | 08/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2036-029 (CD) |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |