Individual
GINA MENTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 WOOD CHASE LN, NORTH BRANFORD, CT 06471-1054
(203) 410-4729
Mailing address
22 WOOD CHASE LN, NORTH BRANFORD, CT 06471-1054
(203) 410-4729
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000517
CT
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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