Individual
MISS ROSELYN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 N MAIN ST, BRISTOL, CT 06010-8122
(860) 920-4124
Mailing address
245 CAMPFIELD AVE, HARTFORD, CT 06114-2412
(860) 817-3536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117766
CT
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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