Individual
MISS BROOKE SHEILA VENKITACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1908
(978) 760-9107
Mailing address
478 W TOWNSEND RD, LUNENBURG, MA 01462-1714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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