Individual
BRENDA CASTILLO JIMINIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
Mailing address
500 ALBANY AVE, HARTFORD, CT 06120-2508
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13419
CT
Other
Enumeration date
06/14/2024
Last updated
07/11/2024
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