Individual
MARYDOL REGALADO BARBIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 INDIAN AVE, BRIDGEPORT, CT 06606-3903
(203) 243-8530
Mailing address
310 INDIAN AVE, BRIDGEPORT, CT 06606-3903
(203) 243-8530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10.064797
CT
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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