Organization
JOINT PAIN RELIEF CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DONOHUE NP (NP CLINIC DIRECTOR)
(203) 895-6572
Entity
Organization
Contact information
Practice address
417 HIGHLAND AVE STE B, WATERBURY, CT 06708-3454
(203) 504-7518
Mailing address
417 HIGHLAND AVE STE B, WATERBURY, CT 06708-3454
(203) 895-6572
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
12/05/2022
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