Individual
DIANA C DELISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1245 FARMINGTON AVE, SUITE 2, FARMINGTON, CT 06107-2667
(860) 521-1213
Mailing address
2510 E SUNSET RD, UNIT 5-260, LAS VEGAS, NV 89120-3511
(702) 798-0113
(866) 291-5242
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000134
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4053195
—
CT
Enumeration date
07/12/2005
Last updated
03/25/2015
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