Individual
DANTALEE NICOLA GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 E WATERBURY RD, NAUGATUCK, CT 06770-2101
(475) 288-5464
Mailing address
193 E WATERBURY RD, NAUGATUCK, CT 06770-2101
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
HCA.0002614
CT
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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