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Individual

GENESIS M LADINEZ VELEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
494 ELM ST, STAMFORD, CT 06902-5115
(203) 434-9778
Mailing address
494 ELM ST, STAMFORD, CT 06902-5115
(203) 434-9778
(203) 487-0344

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
011383
CT
363LF0000X
Family Nurse Practitioner
011383
CT

Other

Enumeration date
01/03/2023
Last updated
04/27/2026
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