Individual
KATHIA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 E MAIN ST, ANSONIA, CT 06401-1964
(203) 736-2601
Mailing address
55 STROBEL RD, TRUMBULL, CT 06611-5512
(203) 644-7655
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10383
CT
Other
Enumeration date
05/12/2021
Last updated
03/07/2022
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