BRIAN DACOSTA

ENFIELD, CT
NPI1073005773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-05-30
Last Update Date2018-05-30
Business Address
BRIAN DACOSTA
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-253-5020
Mailing Address
BRIAN DACOSTA
995 DAY HILL RD
WINDSOR, CT 06095-1722
Phone number: 860-731-5522
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