Individual
DR. GRISELL VIVIANA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
111 HIGH RIDGE RD, CONNECTICUT SPINE AND HEALTH CENTER, STAMFORD, CT 06905
(203) 967-8888
Mailing address
32 BEACH PL, BRIDGEPORT, CT 06604-1800
(316) 393-8328
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
001898
CT
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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