Individual
NELLIE R RUSSOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 MILL ST STE 224, EAST BERLIN, CT 06023-1159
(657) 566-2588
Mailing address
1224 MILL ST STE 224, EAST BERLIN, CT 06023-1159
(657) 566-2588
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
25482899
CT
Other
Enumeration date
08/19/2025
Last updated
08/25/2025
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