Individual
LEONELA AMELIA VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
282 WASHINGTON ST STE 2B, HARTFORD, CT 06106-3322
(860) 545-9000
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT210429
PA
2080P0210X
Pediatric Nephrology Physician
Primary
72299
CT
2080P0210X
Pediatric Nephrology Physician
MT210429
PA
Other
Enumeration date
06/13/2016
Last updated
11/15/2022
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