Individual
MRS. ANUSHA VADDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3170
Mailing address
9 TALCOTT FOREST RD APT J, FARMINGTON, CT 06032-3547
(585) 260-9154
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
12592
CT
Other
Enumeration date
07/16/2019
Last updated
07/26/2019
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