Individual
RAXONNE ALLECIA COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 HERITAGE DR APT B, WINDSOR, CT 06095-2740
(860) 575-9310
Mailing address
22 HERITAGE DR APT B, WINDSOR, CT 06095-2740
(860) 575-9310
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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