Individual
MS. ALISA LYUDMILA DA COSTA-RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3514 MAIN ST, COVENTRY, CT 06238-1551
(866) 389-2727
Mailing address
3514 MAIN ST, COVENTRY, CT 06238-1551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.007158
CT
Other
Enumeration date
05/09/2011
Last updated
03/17/2018
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