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MARISTANE A TEDESCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
34 PARK AVE, OAKVILLE, CT 06779-2108
(860) 417-2200
Mailing address
34 PARK AVE, OAKVILLE, CT 06779-2108
(860) 417-2200

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA9987089
CT

Other

Enumeration date
07/01/2010
Last updated
07/01/2010
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