Individual
KRISTINA ANN BIANCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 SUMMIT DR, SOUTH WINDSOR, CT 06074-3731
(860) 803-4629
Mailing address
35 SUMMIT DR, SOUTH WINDSOR, CT 06074-3731
(860) 803-4629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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