Individual
YANET RAVELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 FARMINGTON AVE STE 202, WEST HARTFORD, CT 06107-2673
(860) 236-0331
Mailing address
75 BUCKINGHAM DR, GLASTONBURY, CT 06033-2734
(305) 216-0746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71877
CT
208000000X
Pediatrics Physician
Primary
71877
CT
Other
Enumeration date
03/29/2018
Last updated
10/26/2022
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