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MARIE ALEXIS DEL MUNDO INGCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
76 NEW BRITAIN AVE, HARTFORD, CT 06106-3305
(860) 547-0970
(860) 547-0980
Mailing address
76 NEW BRITAIN AVE, HARTFORD, CT 06106-3305
(860) 547-0970
(860) 547-0980

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
153618
CT
363L00000X
Nurse Practitioner
Primary
9072
CT

Other

Enumeration date
05/02/2020
Last updated
09/01/2020
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