Individual
DANIELLE M ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
54-56 BOSTON POST RD, WILLIMANTIC, CT 06226-0622
(800) 862-2181
Mailing address
1215 NORTH RD, DAYVILLE, CT 06241-1405
(860) 234-1357
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35055
CT
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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