Individual
MRS. DEANNE MARGOT ENRIQUEZ MANTHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMSC
Contact information
Practice address
107 NEWTOWN RD STE 2C, DANBURY, CT 06810-4146
(203) 830-4700
(203) 730-4162
Mailing address
107 NEWTOWN RD STE 2C, DANBURY, CT 06810-4146
(203) 830-4700
(203) 730-4162
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5101
CT
Other
Enumeration date
03/06/2014
Last updated
12/13/2021
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