Individual
DEBRA JEAN DEPASQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 CASTLE RD, MANCHESTER, CT 06042-2814
(860) 966-5248
Mailing address
17 CASTLE RD, MANCHESTER, CT 06042-2814
(860) 966-5248
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
E42567
CT
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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