Individual
REBEKKA KELLY DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 MAGNOLIA LN, EAST BERLIN, CT 06023-1008
(860) 637-9856
Mailing address
18 MAGNOLIA LN, EAST BERLIN, CT 06023-1008
(860) 937-9856
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
E58330
CT
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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