Individual
SALLY ANN ZAVAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 SHORE RD, CLINTON, CT 06413-2340
(860) 552-8102
Mailing address
122 SHORE RD, CLINTON, CT 06413-2340
(860) 552-8102
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CT09130613OE
CT
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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