Individual
MELISSA PROCACCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 SHENIPSIT LAKE RD, TOLLAND, CT 06084-2332
(860) 872-2999
Mailing address
26 SHENIPSIT LAKE RD, TOLLAND, CT 06084-2332
(860) 872-2999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001326
CT
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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