Individual
HEBAQ A ELMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
420 BLOOMFIELD AVE, WEST HARTFORD, CT 06117-1509
(860) 913-7712
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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