Individual
TABITHA WANJIRU MOCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
23 FAIR ST, BRISTOL, CT 06010
(860) 589-2923
Mailing address
23 FAIR ST, BRISTOL, CT 06010-5531
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7256
CT
Other
Enumeration date
12/28/2010
Last updated
05/31/2019
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