Individual
ODELIA BREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
378 MAIN ST, MANCHESTER, CT 06042-6514
(860) 335-4397
(860) 469-2322
Mailing address
378 MAIN ST, MANCHESTER, CT 06042-6514
(860) 335-4397
(860) 792-8004
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
12.006638
CT
Other
Enumeration date
04/14/2016
Last updated
07/03/2024
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