Individual
JOSEPHINE IERACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 TALCOTT FOREST RD, APT G, FARMINGTON, CT 06032-3581
(347) 523-2785
Mailing address
8 TALCOTT FOREST RD, APT G, FARMINGTON, CT 06032-3581
(347) 523-2785
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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