Individual
MS. BIANCA MARIBEL MARMOLEJOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 QUINNIPIAC AVE, NORTH HAVEN, CT 06473-3623
(203) 624-3303
Mailing address
137 UNION CITY RD, PROSPECT, CT 06712-1031
(203) 525-3170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000366
CT
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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