Individual
JULIE MARIE FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
Mailing address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
11/25/2019
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