Individual
MS. NICOLE CHRISTINE TINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
353 MAIN ST, MANCHESTER, CT 06040-4145
(860) 649-3477
Mailing address
703 HIGH RD, BERLIN, CT 06037-1936
(860) 485-3565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002647
CT
Other
Enumeration date
09/24/2011
Last updated
11/05/2014
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