Individual
CORDELLE ANDARIO LUCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 BENTWOOD DR APT 12, WATERBURY, CT 06705-3617
(646) 750-1044
Mailing address
71 BENTWOOD DR APT 12, WATERBURY, CT 06705-3617
(646) 750-1044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
751964
NY
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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