Provider Demographics
NPI:1336505122
Name:LANGLAIS, JANELLE (RD, LDN)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:LANGLAIS
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 RYE ST
Mailing Address - Street 2:STE 305
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-6846
Mailing Address - Country:US
Mailing Address - Phone:888-320-1776
Mailing Address - Fax:617-507-8576
Practice Address - Street 1:15 RYE ST
Practice Address - Street 2:SUITE NUMBER 225
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-6829
Practice Address - Country:US
Practice Address - Phone:888-320-1776
Practice Address - Fax:617-507-8576
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-08
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0791133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered