Individual
ALISHA GIANNANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 AVERY RD, NEWINGTON, CT 06111-1041
(860) 995-3953
Mailing address
42 AVERY RD, NEWINGTON, CT 06111-1041
(860) 995-3953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
088090161
CT
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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