Individual
KOMAL VIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1941
(860) 894-9424
Mailing address
8 TALCOTT FOREST RD APT E, FARMINGTON, CT 06032-3548
(860) 894-9424
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
13255
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
08/14/2021
Last updated
08/24/2021
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