Individual
MRS. ALLYSON LEIGH DACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC, IBCLC
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(860) 679-2397
Mailing address
222 E HILL RD, CANTON, CT 06019-2116
(860) 461-5753
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-68965
CT
363A00000X
Physician Assistant
Primary
001802
CT
Other
Enumeration date
11/09/2006
Last updated
11/07/2022
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