Individual
HEATHER MASSICOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 LEVITA RD, LEBANON, CT 06249-2314
(860) 428-0405
Mailing address
421 LEVITA RD, LEBANON, CT 06249-2314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82553
CT
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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