Individual
JULIA MARY CIZESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
Mailing address
400 W CAMPUS DR, ORANGE, CT 06477-3646
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9807
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2021
Last updated
07/26/2021
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