Individual
TIANNA GEORGIA KATES-MATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 CANTON RD, WEST SIMSBURY, CT 06092
(914) 512-4107
Mailing address
52 CANTON RD, WEST SIMSBURY, CT 06092
(914) 512-4107
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CTNY91310664E
CT
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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