Individual
IVETTE CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3422 TOWN BROOKE, MIDDLETOWN, CT 06457-6632
(860) 538-8210
Mailing address
3422 TOWN BROOKE, MIDDLETOWN, CT 06457-6632
(860) 538-8210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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