Individual
MONICA VANESSA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 STEELE FARM DR, MANCHESTER, CT 06042-8548
(860) 706-3905
Mailing address
35 STEELE FARM DR, MANCHESTER, CT 06042-8548
(860) 706-3905
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
HCA.0001219
CT
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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