Individual
TINA GRINOLD NICASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
192 PARK RD, WEST HARTFORD, CT 06119-2013
(860) 284-4406
Mailing address
173 OLDE STAGE RD, GLASTONBURY, CT 06033-3249
(860) 268-2092
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000644
CT
Other
Enumeration date
09/15/2015
Last updated
08/18/2021
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