Organization
MASHANTUCKET PEQUOT TRIBAL COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA TARI REELS (TRIBAL HEALTH SERVICES DIRECTOR)
(860) 312-8014
Entity
Organization
Contact information
Practice address
75 ROUTE 2, LEDYARD, CT 06339-1128
(860) 312-8000
(860) 312-8001
Mailing address
PO BOX 3260, 75 RT 2, MASHANTUCKET, CT 06339-3260
(860) 312-8000
(860) 312-8001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
09/09/2014
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