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Individual

GENEVIEVE UFONGENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
3 REGINA RD, VERNON, CT 06066-5818
(860) 634-1624
Mailing address
PO BOX 2251, VERNON, CT 06066-1651
(869) 634-1624

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F01250637
CT

Other

Enumeration date
01/17/2025
Last updated
01/17/2025
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