Individual
ALEXIS BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34 PROFESSIONAL PARK RD, STORRS MANSFIELD, CT 06268-1659
(860) 487-0002
Mailing address
34 PROFESSIONAL PARK RD, STORRS, CT 06268-1659
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44287
CT
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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