Individual
DR. NICOLE PASSIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1615
(860) 679-3261
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1615
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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