Individual
AIZZA IBRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVENUE,, FARMINGTON, CT 06030
(860) 679-2000
Mailing address
1256C FARMINGTON AVE APT LL02, WEST HARTFORD, CT 06107-2665
(929) 350-8710
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13901
CT
Other
Enumeration date
08/02/2023
Last updated
09/15/2023
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