Individual
KRISTYN DECONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 KINGS RD, WEATOGUE, CT 06089-9708
(860) 817-5549
Mailing address
13 KINGS RD, WEATOGUE, CT 06089-9708
(860) 817-5549
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5708255271
CT
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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