Individual
MACENZIE JACQUELINE INGENITO NAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5300
Mailing address
44 GAYFEATHER LN, GLASTONBURY, CT 06033-1221
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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