Individual
MASONYA MARTIN-EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
272 KENNEDY RD, MANCHESTER, CT 06042-2234
(860) 680-7520
Mailing address
272 KENNEDY RD, MANCHESTER, CT 06042-2234
(860) 680-7520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
183407
CT
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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