Individual
TANYA MARIA COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 3RD ST, BRIDGEPORT, CT 06607-1068
(203) 685-0821
(203) 916-7009
Mailing address
32 3RD ST, BRIDGEPORT, CT 06607-1068
(203) 685-0821
(203) 916-7009
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCA.0001351
CT
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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