Individual
ANITA MANTESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 THOMPSON RD, EAST WINDSOR, CT 06088-9626
(860) 623-3000
Mailing address
10 SHEPARD WAY, ELLINGTON, CT 06029-6800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT0011202
CT
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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