Individual
NINA VICTORIA PENABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-2000
Mailing address
44 REPUBLIC DR APT 339, BLOOMFIELD, CT 06002-5460
(786) 369-9721
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14386
CT
Other
Enumeration date
04/23/2025
Last updated
06/03/2025
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