Individual
SANDY DE LEON ADAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 HARTL DR, VERNON ROCKVILLE, CT 06066-5218
(860) 609-1581
Mailing address
77 HARTL DR, VERNON ROCKVILLE, CT 06066-5218
(860) 609-1581
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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