Organization
AGAPE FAMILY MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELISTAS MAZHANDU APRN (OWNER)
(860) 797-0572
Entity
Organization
Contact information
Practice address
1078 W MAIN ST STE 3, WATERBURY, CT 06708-2651
(860) 797-0572
Mailing address
4 WOODLAND TRL, ELLINGTON, CT 06029-3890
(860) 797-0572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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