Individual
KRISTINE ANNE GENOGUIN CELECIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 638-8591
Mailing address
2600 PARK AVE UNIT 9H, BRIDGEPORT, CT 06604-1355
(203) 638-8591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196999
CT
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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