Individual
CARMENROSA CHILICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E44431
CT
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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