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Individual
ELISE PANZA
Active
Individual
ELISE PANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
529
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529
CT NATUROPATHIC PHYSICIAN LICENSE
CT
Enumeration date
12/01/2014
Last updated
12/01/2014
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